| 陈晶晶,李京恩,盛茂,等.儿童肾脏非 Wilms瘤原发性恶性肿瘤临床表现及腹部 CT特征分析[J].安徽医药,2022,26(1):57-60. |
| 儿童肾脏非 Wilms瘤原发性恶性肿瘤临床表现及腹部 CT特征分析 |
| Clinical manifestations and CT features of the abdomen of primary malignant non-Wilms' renal tumors in children |
| |
| DOI：10.3969/j.issn.1009-6469.2022.01.013 |
| 中文关键词: 肾肿瘤 体层摄影术， X线计算机 Wilms瘤 病理状态，体征和症状 儿童 |
| 英文关键词: Kidneyneoplasms Tomography,X-raycomputed Wilmstumor Pathologicalconditions,signsandsymptoms Child |
| 基金项目: |
|
| 摘要点击次数: 1278 |
| 全文下载次数: 424 |
| 中文摘要: |
| 目的探讨儿童肾脏非 Wilms瘤原发性恶性肿瘤的临床表现与腹部 CT特征，提高对儿童肾脏非 Wilms瘤原发性恶性肿瘤的认识。方法回顾性分析 2012年 3月至 2018年 9月苏州大学附属儿童医院 11例经病理证实，并且具有完整腹部 CT影像资料的儿童肾脏非 Wilms瘤原发性恶性肿瘤病儿的临床资料，分析其临床特点、腹部 CT影像表现以及与 Wilms瘤的鉴别要点。结果本研究 11例病儿中，肾恶性横纹肌样瘤 3例，腹部 CT示病灶均为实性肿块，可见融冰征、肾周积液、包膜下积液， 1例合并中枢神经系统肿瘤， 1例出现两肺转移；肾透明细胞肉瘤 2例，腹部 CT示病灶均为实性肿块，均可见大片坏死， CT增强扫描均可见瘤体内多发扭曲的细小血管，可见“虎斑样”改变，所有病例均未见瘤栓，未见骨骼转移。肾细胞癌 6例， 3例出现血尿，腹部 CT示病灶为实性肿块， 4例可见钙化。结论儿童肾脏非 Wilms瘤原发性恶性肿瘤的临床表现与腹部 CT有一定的特征，有助于诊断。 |
| 英文摘要: |
| Objective To investigate the clinical manifestations and abdominal CT features of primary malignant non-Wilms' renal tumors in children .Methods The clinical data of 11 cases of pathologically confirmed primary malignant non-Wilms' renal tumors in children in the Children's Hospital of Soochow University from March 2012 to September 2018 . were retrospectively reviewed. Theclinical features and the abdominal CT imagings of all cases were analysised.Results Among the 11 cases, 3 cases were malignant re-nal rhabdomyoid tumor. Abdominal CT showed that the lesions were solid masses with melting ice sign, perirenal effusion and subcap-sular effusion, 1 case was complicated with central nervous system tumor, and 1 case had metastasis to both lungs; Two cases of clearcell sarcoma manifested large necrosis and multiple distorted small blood vessels in the tumors; 1 case showed "tabby cat striation "change . The renal cell carchinomas (n=6) showed calcification in 4 cases and hematuria were find in 3 cases.Conclusion The clini-cal manifestations and abdominal CT images are useful in the diagnosis of primary malignant non-Wilms' renal tumors in children. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
