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頁籤選單縮合
| 題 名 | 腎臟淋巴瘤的放射線學表徵 |
|---|---|
| 作 者 | 梁建龍; | 書刊名 | 醫學研究 |
| 卷 期 | 11:3 1990.11[民79.11] |
| 頁 次 | 頁231-241 |
| 分類號 | 415.818 |
| 關鍵詞 | 放射線學; 表徵; 淋巴; 腎臟; 瘤; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 腎臟原發性淋巴瘤在臨床上相當常見,但是次發性的腎臟淋巴瘤則較為常見,因為幾手1/4的心臟搏出量(cardiac output)血流經腎臟濾清。過去由於傳統的放射線學對腎淋巴瘤偵測不易,故大多為死後解剖始發現。近年來由於高解析的超音波掃描儀發展,可以清晰顯示顯示腎臟皮質、髓質以及腎中心竇之結構,因此提供了正確的淋巴瘤轉移至腎臟病灶的診斷,更提供了追蹤治療之依據。而電腦斷層攝影對於腎臟之功能及其內在病灶以及腎周圍或後腹膜腔之病灶輕易的偵測。三軍總醫院自1985年5月至1987年4月共收集10例由全身淋巴瘤侵犯至腎臟病例。經以超音波與電腦斷層檢查分析結果可分為下列4種不同表徵;第Ⅰ型單一結節型,佔21%;第Ⅱ型多發結節型,佔50%,第Ⅲ型瀰漫性浸潤型,佔7.1%,第Ⅳ型為鄰近後腹膜腔病灶直接侵入,佔21.4%。腎臟淋巴瘤的放射學表徵,有助於了解腎臟淋巴瘤侵犯的機轉,並提供正確之臨床診斷。 |
| 英文摘要 | Cases of primary renal lymphoma are rare, but that of systemic lymphoma with renal involvement are common because kidney receives one fourth of cardiac output. Renal lymphoma is seldom detected by conventional radiology. After the computed tomography (CT) and ultrasound (US) were available, systemic lymphoma with renal involvement has been easily detected and diagnosed. Between 1985 and 1987, we had detected 10 cases of systemic lymphoma with renal involvement by radiography including plain film, IVU, CT, US and angiography. The finding of renal lymphoma by CT and US was classified into four different manifestations: 1. Solitary nodule (21.4%), 2. Multiple nodules (50%), 3. Diffuse infiltration (7.1%), 4. Direct engulfed by contiguous retroperitoneal disease (21.4%). Based on the manifestations of these radiological studies, we concluded that these manifest patterns from the radiological studies help to understand mechanism of renal involvement as well as to provide accurate diagnosis of renal lymphoma. |
本系統中英文摘要資訊取自各篇刊載內容。