- 期刊
- OpenAccess
浸潤性腎臟移形上皮細胞癌的放射線學徵象－病例報告
Radiological Findings of Infiltrating Renal Transitional Cell Carcinoma-Case Report
摘要
腎臟侵犯性移形上皮細胞癌為一少見的腎臟腫瘤，主要以浸潤而非向外擴展方式生長，通常會使腎臟變大但保留其蠶豆形，且腫瘤界限不明顯。其鑑別診斷包括：淋巴瘤、腎臟轉移性病灶及腎細胞癌。在放射線學特徵上與其他浸潤性腎臟腫瘤極為相似。在泌尿道攝影方面，可見腎盞被截斷或包被及整個腎臟變大；在超音波圖，可見腎臟瀰漫性的腫大、不正常的腎實質回音及腎中心竇回音的消失；在電腦斷層攝影，可見一界限不明的腫塊且吸收值在注射對比劑後比未被侵犯的腎實質低；在血管攝影圖，可見腎內血管被扯直、截斷或包被以及減少腎實質影像。本文報告一腎臟侵犯性移形上皮細胞癌之病例，其在放射線學上的特徵及鑑別診斷。
並列摘要
Invasive transitional cell carcinoma of kidney is a rare neoplasm in a growth pattern of diffuse rather than expansile infiltration. The infiltrative lesions enlarge the kidney, but preserve its reniform shape and, in addition, have poorly defined margins. The major differential diagnoses include renal lymphoma, metastasis to the kidney and renal cell carcinoma. These infiltrative renal neoplasms bear similar radiological features. Findings on urography include encasement or amputation of calyces and diffuse enlargement of kidney. The characteristic features on sonograms are enlargement of kidney with preservation of reniform shape, loss of central sinus echoes and variable renal parenchymal echogenicity. The CT features are ill-defined mass, diminished contrast enhancement and replacement of central sinus fat. Stretching, pruning or encasement of intrarenal vessels and a decreased nephrogram are seen on angiograms.
延伸閱讀
- 施純熙、王家槐、梁慧隆、張遵（1990）。腎盂與輸尿管之過渡上皮細胞癌的電腦斷層癌症分期。中華放射線醫學雜誌，15(3)，207-211。https://www.airitilibrary.com/Article/Detail?DocID=10188940-199009-15-3-207-211-a
- Hsiao, H. L., Yeh, H. C., Chang, T. H., Ke, H. L., Lin, H. C., Wu, W. J., Huang, C. H., & Lee, Y. C. (2008). 腎臟收集輸送管癌及其共存的膀胱泌尿上皮癌－病例報告. The Kaohsiung Journal of Medical Sciences, 24(3), 157-162. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200803-24-3-157-162-a
- 蕭賜彥、黃一勝、楊啟瑞、張吉隆、張兆祥、吳錫金（1990）。腎臟移植後淋巴囊腫－病例報告。中華民國泌尿科醫學會雜誌，1(2)，140-145。https://doi.org/10.7024/JUAROC.199006.0140
- Huang, K. S., Shih, S. L., & Yang, F. S. (2008). Renal Cell Carcinoma in a 3 year-old Girl: A Case Report. 中華放射線醫學雜誌, 33(4), 271-275. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200812-33-4-271-275-a
- Lu, P. H., Tsai, P. S., Liu, Y. P., Lin, D. C., & Shih, S. L. (2020). CT Findings of the Evolution of Renal Cell Carcinoma in an Adolescent: Case Report. Journal of Radiological Science, 45(), 45-47. https://doi.org/10.6698/JRS.202003_45.0010