肾血管平滑肌脂肪瘤特征性CT表现的诊断价值

    The significane of characteristic CT mapping in diagnosis of renal angiomyolipoma

    • 摘要: 目的: 探讨肾血管平滑肌脂肪瘤(renal angiomyo lipoma,RAL)CT影像特征的诊断价值。方法: 收集RAL22例,均行CT常规扫描,其中14例行增强扫描,5例经薄层或薄层放大扫描,3例行像素CT值测定;10例经手术病理证实RAL,12例经半年以上随访证实RAL。结果: RALCT影像表现为脂肪密度影内伴点状、条片状软组织密度影,脂肪密度影多呈偏心性分布为主和不规则蜂窝状分布。生长特点的CT影像改变有多中心生长,双侧发病;向外突出生长;向外突出沿包膜下匍匐性生长的表现。结论: 在肿瘤中测得脂肪密度影是诊断该病的关键。多发、双侧、外突性改变及肾实质边缘"轮齿状"缺损对诊断均有很大价值。

       

      Abstract: Objective: To estimate the value of CT mapping in diagnosis of renal angiomyolipoma(RAL).Methods: Twenty-two cases of RAL were collected,10 of which were proved by pathological examination and 12 cases by at least 6-month following up.All the cases were performed routine CT Scan.Fourteen cases received enhanced CT scan,5 cases target scan and 3 cases pixel CT value measuring.Results: The pathologic characteristics of CT were spotty and streak soft tissues in the fatty density and the adipose tissues were always eccentric and of the shape of irregular honey-comb.The growth manifestations of RAL in CT were multiple centers,bilateral and protruding outward growth or creeping under the capsule.Conclusions: The detection of fatty density was the key to diagnosis of RAL.Multiple lesions,bilateral or protruding change and the defect like teeth of a cogwheel along the edge of parachyma were of great value to the diagnosis.

       

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