多房囊性肾细胞癌的256层iCT诊断与病理对照

Comparative Study of 256-slice iCT Diagnosis and Pathologic with Multilocular Cystic Renal Cell Carcinoma

目的:探讨多房囊性肾细胞癌(MCRCC)的256层iCT增强扫描影像特征。方法:搜集6例经外科手术病理证实为多房囊性肾细胞癌患者的临床资料、CT影像资料及病理资料,对比分析多房囊性肾细胞癌的影像特点。结果:6例均发生于肾实质区,增强扫描可见不同程度囊性改变、无明显壁结节、有包膜边界清晰、肾盂肾盏无侵蚀破坏,无肾静脉癌栓形成,均无远处转移征象,3例行患侧肾全切除术,3例行肾肿瘤楔形切除术。结论:多房囊性肾细胞癌的256层iCT增强扫描表现有一定特征性,可作为术前诊断的理想手段,对治疗方案的优选及改善患者生存质量有积极意义。

Objective： To discussion the features of multilocular cystic renal cell carcinoma （MCRCC） in 256-slice iCT enhancement scanning. Method： Analysis the symptom with 256-slice iCT enhancement scanning and pathology date in 6 cases of MCRCC, to find the features of MCRCC in the 256-slice iCT enhancement scanning. Result： All the tumor positioning in the renal parenchyma area, enhanced scan showed different degrees of cystic change, no obvious wall nodule, enveloped with clear boundary, the renal pelvis and calices without erosion, no renal vein tumor thrombosis, no distant metastasis signs. 3 cases with psilateral radical nephrectomy, 3 cases with renal tumor part resection. Conclusion： The 256-slice iCT enhanced scanning method can be used as the ideal means of preoperative diagnosis for Multilocular cystic renal cell carcinoma, and have positive significance for treatment plan optimization and improve the patients quality of life.