肾窦病变的影像诊断 课件.pptVIP

 Coronal reformatted contrast-enhanced CT scan obtained during the excretory phase shows the poorly enhancing, low-attenuation, masslike renal parenchymal lesion extending to the renal sinus (arrow). Analysis of the nephrectomy specimen demonstrated a hemorrhagic mass due to focal invasive aspergillosis. Aspergillosis causes vascular occlusion and multiple renal infarcts. However, as in this case, differentiation from a tumor is not always easy. （图片见下页）   【肿瘤性病变】1------肾盂肿瘤肾盂恶性肿瘤仅占尿路新生物的5%。移行细胞癌占约90%，剩余10%为鳞状上皮细胞癌。肿瘤起自肾盂中心，侵及肾窦脂肪和肾实质。尿路造影原发肾盂肿瘤因为肿瘤或出血出现充盈缺损，因为恶性破坏出现肾盏中断。超声显示肾窦内脂肪被肿瘤替代。