| 张涛,汪建文,陈立芳.肾透明细胞癌多排螺旋 CT影像表现与 Fuhrman分级的相关性分析[J].安徽医药,2020,24(6):1192-1194. |
| 肾透明细胞癌多排螺旋 CT影像表现与 Fuhrman分级的相关性分析 |
| Correlation analysis of the relationship between MDCT feature and Fuhrman grading in 40 patients with clear cell renal cell carcinoma |
| |
| DOI：10.3969/j.issn.1009?6469.2020.06.033 |
| 中文关键词: 癌，肾细胞/诊断 体层摄影术，螺旋计算机 肿瘤分级 Fuhrman分级 |
| 英文关键词: Carcinoma,renal cell/ diagnosis Tomography,spiral computed Neoplasm grading Fuhrman grades |
| 基金项目: |
|
| 摘要点击次数: 1612 |
| 全文下载次数: 487 |
| 中文摘要: |
| 目的探讨肾透明细胞癌( CCRCC)多排螺旋 CT(MDCT)影像学表现与 Fuhrman分级之间的相关性。方法回顾性分析芜湖市第二人民医院 2015年 1月至 2019年 1月共 40例经过手术病理证实为 CCRCC的 CT图像资料，通过观察肿瘤的大小、形状、密度、包膜完整性以及 CT增强特征等，与 Fuhrman分级结果进行统计学分析。探究 CCRCC的 MDCT影像表现对预测其 Fuhrman分级的应用价值。结果 40例病人中， Fuhrman分级 Ⅰ级 2例， Ⅱ级 30例， Ⅲ级 7例， Ⅳ级 1例，低级别组( FuhrmanⅠ~ Ⅱ)与高级别组( Fuhrman Ⅲ~Ⅳ)肿瘤长径分别为( 3.97±1.58)cm、(7.13±2.63)cm，形态规则的肿瘤分别为 23例、 2例，有完整包膜分别为 20例、 1例，增强扫描皮质期绝对强化值分别为( 82.63±29.22)HU、(51.50±27.47)HU，廓清率分别为( 43.27±12.65)%、(23.63±10.80)%，均差异有统计学意义( P＜0.05)。在平扫密度上差异无统计学意义( P＞0.05)。结论 CCRCC的病灶长径、形状、有无完整包膜以及肿瘤强化特征等 CT征象，对预测 CCRCC的病理 Fuhrman分级具有重要的临床意义，从而为临床治疗以及预后评估提供帮助。 |
| 英文摘要: |
| Objective To investigate the correlation between multi?row spiral CT(MDCT)imaging findings and Fuhrman nucleus classification in renal clear cell carcinoma(CCRCC).Methods The CT images of 40 patients with CCRCC confirmed by surgery and pathology in The Second People’s Hospital of Wuhu from January 2015 to January 2019 were retrospectively analyzed.The tu? mor size，shape，density，envelope integrity and CT enhancement characteristics were observed.A statistical analysis was carried outwith these characteristics and the results of Fuhrman nuclear grading to investigate the application value of MDCT imaging manifes?tations of renal clear cell carcinoma in predicting its Fuhrman nuclear classification. Results Of the 40 patients，2 cases were Fuhrman grade Ⅰ，30 cases were grade Ⅱ，7 cases were grade Ⅲ and 1 case was grade Ⅳ.The major diameter of the tumors in the low?grade group(Fuhrman Ⅰ?Ⅱ)and the high?grade group(Fuhrman Ⅲ?Ⅳ)was(3.97±1.58)cm and(7.13±2.63)cm，re? spectively.The regular tumors were 23 cases and 2 cases，respectively.The complete capsule was 20 cases and 1 case，respectively.The absolute enhancement values in the cortical phase were(82.63±29.22)HU and(51.50±27.47)HU，and the clearance rates were(43.27±12.65)% and(23.63±10.80)%，respectively，and the difference was significant(P＜0.05).There was no significant difference in the density of plain scan(P＞0.05).Conclusion CT signs based on the major diameter，shape，complete capsule andenhancement features of renal clear cell carcinoma have important clinical significance for predicting the pathological Fuhrman nu?clear grading of CCRCC，thus providing assistance for clinical treatment and prognosis assessment. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
