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Casediscussionbyabdomengroup2021-3-14
HistoryFemale63ygetwoundinafall1monthagoUSG:solidmasslesionofleftkidneySPECT：highperfusioninthemasslesionofleftkidney
Corticalperiod〔CTvalue:110HU;36HU)
Medullaperiod〔CTvalue:180HU;62HU)
Dischargeperiod〔CTvalue:107HU;57HU)
VR
Operation：leftkidneyradicalcorrectionPathology：Renaloncocytoma
DDXRenaloncocytoma,RO
RenaloncocytomaRenaloncocytomasarebenign,rare,solidtumoursofthekidney,derivedrenalcortexepitheliumofproximalconvolutedtubule.，comprising3–7%ofallrenaltumorsOccurinallages,themostinabout50y，generallymenmorethanwomen,M:F1.5～1.7:1Mostissolitary,canalsobecomplicatedwithPolycystickidney,renalangiomyolipomas,renalcancerusuallyasymptomaticanddiscoveredincidentally
RenaloncocytomaCTscannerAwell-definedmarginCentralstellatescard3cm,homogeneous,rarescard≥3cm,withvolumebecomelarger,centraloreccentricalscarwillbeoccurredfollowercalcificationCysticornecrosisrarely
RenaloncocytomaCTenhancement：CorticalperiodorMedullaperiod:substantialpartimprovedobviouslyandhomogeneously,thedegreeofenhancementislargerthanorequaltothecortexinthesameperiodDischargeperiod:enhanceddegreereduce,belowtherenalparenchymadensity,higherthanmuscledensityAcentrallyplacednon-enhancingarea,likelyrepresentingafibrousscarSpoke-wheel-likeenhancementPartofthecoatingcanbeseeninroughvessels
plainscancorticalperiodMedullaperiodDischargeperiodL-RO
plainscanDorticalperiodDischargeperiodL-RO
双肾嗜酸细胞瘤伴钙化
双肾嗜酸细胞瘤
右肾嗜酸细胞瘤
DifferentialDiagnosisrenalangiomyolipomarenalchromophobecellcarcinoma,RCCCrenalclearcellcarcinoma
renalclearcellcarcinomaDiagnosticpointLocatedinthecortex，inordinanceshape,irregularmargincysticornecrosisiscommon，densitynonuniformintheplainscanrenalpelvisandrenalcalyxbedestroyed,easytotransferrichbloodsupplyfortumor,
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