肾淋巴瘤 课件.pptVIP

肾淋巴瘤;淋巴瘤尸检病例中肾脏受侵的比例达 30% to 60% CT 仅发现3%–8%受侵 原因：多数侵犯较为隐匿，病灶较小，CT不能显示 ;血源性播散 腹膜后病灶的直接侵犯 病变发展的晚期 临床上无症状体征;组织病理学特征;典型CT征象;单发结节;Renal lymphoma in a 69-year-old man. Contrast-enhanced helical CT scan shows a dominant 5-cm mass in the right kidney (arrow). There is no evidence of retroperitoneal adenopathy. ;Follicular, mixed small cleaved and large cell lymphoma in a 74-year-old man. Contrast-enhanced helical CT scan shows a large mass located in the left kidney and extending into the perirenal space. Small nodes are seen in the retroperitoneum (arrow). ;多发结节;?Large cell lymphoma in an 11-year-old boy. The patient presented with a large anterior mediastinal mass and renal lesions. Contrast-enhanced helical CT scan demonstrates small, hypoattenuating masses bilaterally (arrows), a typical finding in renal lymphoma. The patient responded well to treatment, and the renal lesions eventually resolved. ;Large cell lymphoma in a 73-year-old woman. Contrast-enhanced CT scan shows bilateral renal masses with characteristic homogeneous attenuation, smooth borders, and low contrast enhancement. Retroperitoneal adenopathy is also present (A). ;腹膜后病变直接侵犯;?Diffuse lymphocytic lymphoma in a 65-year-old woman. Contrast-enhanced helical CT scan shows a large, homogeneous mass enveloping the retroperitoneum and invading the right kidney. Note how flow is maintained in the renal arteries (straight arrows) and left renal vein (curved arrow) despite the massive tumor burden. These findings are characteristic of retroperitoneal lymphoma ;Large cell lymphoma in a 51-year-old woman. Contrast-enhanced helical CT scan shows a large tumor mass invading and displacing the left kidney. The tumor also involves the right side of the retroperitoneum ;肾周病变;Large cell lymphoma in a 34-year-old man. Contrast-enhanced helical CT scan demonstrates perirenal masses bilaterally, especially on the right side. The resulting marked compression and deformity of the right kidney are somewhat unusual for per