非恶性成像变化模拟瘤局部进展细胞癌的皮肤切除后的皮肤切除
Derek W Cool1, Cathal N O'Leary2, Satheesh Krishna3
1Division of Interventional Radiology, Department of Medical Imaging, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
概括
在细胞癌 (RCC) 切除后,区分良性变化与局部瘤进展至关重要. 图像特征可以帮助区分这些发现,减少小RCC不必要的再干预.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 穿皮切除是小细胞癌 (RCC) 的常见治疗方法.
- 切除后成像可以显示可疑局部瘤进展 (LTP) 的发现.
- 良性非恶性变化 (NMC) 可以模仿LTP,使诊断复杂化.
研究的目的:
- 为了比较NMC的发病率和成像特征与LTP在脏切除后.
- 识别将NMC与LTP区分开来的成像特征.
主要方法:
- 用射频废除 (RFA) 治疗RCC患者的回顾性审查.
- 对可疑的LTP后消去成像发现的分析.
- 诊断的临床,成像和组织病理学随访.
- 根据形态,位置和增强,对成像特征的分类.
主要成果:
- 在268个接受治疗的瘤中,有18个 (6.7%) 显示出可疑的发现:8个NMC (3.0%) 和10个LTP (3.7%).
- NMC显示CT增强 (31 HU) 比LTP (152 HU) 显著低.
- LTP发生在关膜边缘,而NMC发生在中心或外边缘.
结论:
- 非恶性变化和LTP发生在脏切除后的频率相似.
- 特定的成像特征,包括增强模式和病变位置,可以区分NMC和LTP.
- 精确的区分可以减少不必要的重新干预.
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