文章摘要
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:
作者单位E-mail
陈晶晶 苏州大学附属儿童医院 放射科江苏苏州 215025  
李京恩 苏州大学附属儿童医院 放射科江苏苏州 215025 lijingen10000@sina.com 
盛茂 苏州大学附属儿童医院 放射科江苏苏州 215025  
王琪 苏州大学附属儿童医院 放射科江苏苏州 215025  
贾慧惠 苏州大学附属儿童医院 放射科江苏苏州 215025  
刘玉奇 苏州大学附属儿童医院 放射科江苏苏州 215025  
周云 泌尿外科江苏苏州 215025  
张闽 病理科江苏苏州 215025  
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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.
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