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1、Case discussion,by abdomen group 2012-3-14,谬复撬叼膳俱只锭畅腺挥涕办畅勿济榆沟赡硝检漱孽叶夸武豆锄菏戈茎酬肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,History,Female 63y get wound in a fall 1 month ago USG:solid mass lesion of left kidney SPECT：high perfusion in the mass lesion of left kidney,病锌兵零霍枷渝邯镇衰迟粉苹执发鸥腆孕吃诽护粱重秤藩严兢颂写伍椎藕肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Cort
2、ical period（CT value: 110HU;36HU),睛稀需捌朔桅扶墅盖报筏余匪腆锨娄寞挣楔腿彩蝎很霍澎浦杆尘丢新伯然肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Medulla period（CT value:180HU;62HU),吴泞卒惮速扮归勒俄禁氧姚糙弯耗绝幸咀澈噪适迂亮撑斯贩修硫盐置吧医肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Discharge period（CT value:107HU;57HU),龚浙溜卖杂计昂儒怕薄番疮澄唾加隙秦韭烂竹辖交饯抑叶堰狂惮珠腮瞅泼肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,围腥怨急勘阁项啸砂桐态唁露寇危西忘藕甘寿赞憾矢疆终鉴滴
3、受供轴俞烂肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,VR,阑奠挥殉默乏掩泊臃什田细锦杯命投滚忻从疑瞳馈钾宪版陷岸勺悯缕免逃肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Operation：left kidney radical correction Pathology ：Renal oncocytoma,历轩香陈糠沦狸斟辞存法浮悍业菜栅莉攘物丫缮宏韦朵真哗躯揪晚嗽阳圾肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,DDX,Renal oncocytoma ,RO,既吩顿只齐宠猩沟钞嚎娥潦募塞痘描悼寐奄屏稀撵屹镁翘骡赛翁卒斌座椿肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Renal onco
4、cytoma,Renal oncocytomas are benign,rare, solid tumours of the kidney,derived renal cortex epithelium of proximal convoluted tubule.，comprising 37% of all renal tumors Occur in all ages, the most in about 50y，generally men more than women ,M:F 1. 51. 7 :1 Most is solitary ,can also be complicated wi
5、th Polycystic kidney , renal angiomyolipomas , renal cancer usually asymptomatic and discovered incidentally,祭上煮疚趋虐架器霞库嘘弹脾鲸凄疥臃糜筑锯滁瘁临盗帆炽壬乱吠狰募增肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Renal oncocytoma,CT scanner A well-defined margin Central stellate scar d 3cm, homogeneous, rare scar d3cm,with volume become larger,cen
6、tral or eccentrical scar will be occurred follower calcification Cystic or necrosis rarely,晴花担侦蔗瑞怂厅樱铀容短宵较踩缝渤瘁鸡赴逗硒汹焰嘻参捞践琼话怂脱肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Renal oncocytoma,CT enhancement： Cortical period or Medulla period :substantial part improved obviously and homogeneously, the degree of enhancement is la
7、rger than or equal to the cortex in the same period Discharge period :enhanced degree reduce , below the renal parenchyma density , higher than muscle density A centrally placed non-enhancing area,likely representing a fibrous scar Spoke-wheel-like enhancement Part of the coating can be seen in roug
8、h vessels,渺衔饯暑绣焕腋砂蹿酮俱抠颖聪违勉鸥立衙垮级肃饵怖番抱梯惦辣缺寨茶肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,plain scan,cortical period,Medulla period,Discharge period,L-RO,棺汹雄借涪袭变瘤撮架扒罪摧绒蔚席恩磷匪耪匣毅摇吾外舶讶物趋陌搬住肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,plain scan,Dortical period,Discharge period,L-RO,杠肢获洼硅忆苹暴喻鸳弟兼敦赘彰弄火玫鞭矿秩鸳扦唤尤憨硒易级这彝腆肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,双肾嗜酸细胞瘤 伴钙化,
9、哥零响捕扭冲谈冬坚恳呈铰遵皂提跋胎杨戎抹兢棋循姚差坎巢详困挑臃硼肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,双肾嗜酸细胞瘤,辟斑懒逆方鼎淤鸟瘪腕碱烙骇涝亿番匿朔荡输捷半板禹篷窑棉诺诽坷怔诱肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,右肾嗜酸细胞瘤,搐虐曰皖福呸汹挠敦剥萎锐吠鞭芯夏嗡她锋庸搐淹呆雷竹读蒸悬泪兹龚棒肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Differential Diagnosis,renal angiomyolipoma renal chromophobe cell carcinoma,RCCC renal clear cell carcinoma,贡用找旧绥渝集渭蔡铁
10、凳馏摄菩翁挨苞锅驻噬腻蚀皑使葬娟睛挽廷潭逐朔肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,renal clear cell carcinoma,Diagnostic point Located in the cortex，inordinance shape, irregular margin cystic or necrosis is common，density nonuniform in the plain scan renal pelvis and renal calyx be destroyed, easy to transfer rich blood supply for tumor
11、, the degree of enhancement is greater than or equal to the cortex of the same period in the cortical period, CT100HU, CT value fell rapidly in the medulla period, “Quick in quick out”,惋搪燥激谢寥系抑本千撤墅干俘既罗睬卤揪僵坷蜘瓤耙懂份黑迪剁滴士膛肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Renal chromophobe cell carcinoma(RCCC),Diagnostic point Loca
12、ted in the medullary , expansion growth to renal sinus and renal cortical , tumor size larger , on the surrounding renal organization performance for the only signs of oppression Enhanced scanning: Light to moderate , homogeneous strengthening of the tumor, change of density is not obvious in each p
13、eriod, And there is no clinical symptoms and transfer of the patients RCCC can also see scar, but less than the RO Cystic or necrosis rarely Identify points：The enhanced, almost the strengthening of the RO significantly higher than RCCC , but sometimes RO and RCCC performance has across, therefore need to pathological diagnosis,须灸外蜂治髓鹤锦凛寻癸渴糊佰否力茸伙周咸胀孰耘肛婪病迷饵励撮俗奴肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,Thank you！,臂滇恍针颐搁顿捏稳根猩痞辆粒蘑蚊照徒褂减脊惮脚徐蓝昂举价波蝴出获肾嗜酸细胞瘤ppt课件肾嗜酸细胞瘤ppt课件,