Contrast enhanced ultrasonography prediction of cystic renal mass in comparison to histopathology
Contrast enhanced ultrasonography prediction of cystic renal mass in comparison to histopathology
复制标题
与组织病理学相比，超声造影预测囊性肾肿块
DOI：
10.3233/ch-131799
复制
发表时间：
2014-01-01
影响因子：
2.1
通讯作者：
Hao, Jihui
中科院分区：
文献类型：
--
作者：
Xu, Yong;Zhang, Sheng;Hao, Jihui
目的：探讨超声造影（CEUS）在预测囊性肾肿块组织学亚型中的应用价值。方法：对87例囊性肾肿块行超声扫描，记录超声表现及病理结果。分析比较不同组织学亚型囊性肾肿块的超声造影特征。结果：87例肾囊性肿块中，恶性63例，良性24例。良、恶性囊性肾肿块超声造影特征有显著差异。不同亚型囊性肾细胞癌的超声造影表现不同。多房囊性肾细胞癌（MCRCC）多为Bosniak III型。透明细胞肾细胞癌（CCRCC）更容易表现为多室囊性型合并Bosniak IV型，囊性乳头状肾细胞癌（PRCC）更容易表现为单室囊性型合并Bosniak IV型，MCRCC合并良性囊性肿块更容易表现为Bosniak III型，与CCRCC和PRCC有显著差异。结论：超声造影有助于mcrcc和良性囊性肿块与ccrcc和prcc的鉴别。超声造影对囊性肾肿块的组织学亚型预测及临床治疗有一定的指导意义。
OBJECTIVES: To investigate the value of contrast-enhanced ultrasonography (CEUS) in histologic subtype prediction of cystic renal mass.METHODS: Eighty-seven cystic renal masses were scanned by CEUS, and the CEUS findings and pathological results were recorded. The CEUS features of different histologic subtype cystic renal masses were analyzed and compared.RESULTS: Among 87 renal cystic masses, 63 masses were malignant and 24 were benign. CEUS characteristics of benign and malignant cystic renal masses were significantly different. Different subtype cystic renal cell carcinoma had different CEUS imaging appearances. Multilocular cystic renal cell carcinomas (MCRCC) were more likely to be of Bosniak classification III. Clear cell renal cell carcinomas (CCRCC) were significantly more likely to appear as a multilocular cystic pattern combined with Bosniak classification IV. Cystic papillary renal cell carcinomas (PRCC) were more likely to appear as an unilocular cystic pattern combined with Bosniak classification IV. MCRCC combined with benign cystic masses were more likely to be classified as Bosniak classification III, which was significantly different from CCRCCs and PRCCs.CONCLUSIONS: CEUS can be helpful in differentiating MCRCCs and benign cystic masses from CCRCCs and PRCCs. CEUS might be useful in histologic subtype prediction and clinical management of cystic renal mass.