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摘要


良性囊腫與惡性囊腫樣病變皆可呈現為非典型腎囊腫,兩者在醫學影像上的表現可能極為類似。本文提出5例囊狀腎細胞癌,展示其影像學上表現,並作影像學與病理組織間之對照。依據Bosniak氏分類法,有4例為第4類囊腫(3例呈現囊壁上有對比增強現象的結節,1例則出現軟組織成份),另1例為多房性囊腫,因存有異常增厚之隔膜,而屬於第3類囊腫。當遭遇影像學上表現為第4類非典型腎囊腫時,應考慮有惡性病變之可能性。

並列摘要


This article depicts the radiographic characteristics of cystic renal cell carcinoma (RCC); it also correlates radiographic characteristics with surgical-pathologic findings. Five cases of RCC that manifested as complicated cyst were presented. Based on the Bosniak classification, there were four cases of Category Ⅳ lesion (enhancing mural nodularity in three cases, enhancing solid component in one case), and one case of Category Ⅲ lesion caused by thickening of intervening septum in a multilocular cyst. Histopathologic foci of RCC correlated well with the location, radiographically, of enhancing mural nodularity, solid component and thickened septum. When dealing with a cystic lesion classified as Bosniak Category Ⅳ one should be aware of the possibility of associated malignancy.

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