The value of ultrasound and multi-slice spiral CT in the differential diagnosis of renal eosinophilic adenoma and chromophobe cell carcinoma

您当前的位置：

首页 >

文章列表页 >

The value of ultrasound and multi-slice spiral CT in the differential diagnosis of renal eosinophilic adenoma and chromophobe cell carcinoma

更新时间：2023-10-11

- The value of ultrasound and multi-slice spiral CT in the differential diagnosis of renal eosinophilic adenoma and chromophobe cell carcinoma
- Journal of Clinical Ultrasound in Medicine Vol. 24, Issue 3, (2022)
- 作者机构：
  
  1. 永康瑞侦医院
  2. 永康市中医院超声科
  3. 永康瑞侦医院超声科
  4. 重庆大学肿瘤附属医院&重庆市肿瘤研究所&重庆市肿瘤医院肿瘤转移及个体化治疗转化研究重庆市重点实验室
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2022，
  
  Published Online：2 April 2022，
扫描看全文
The value of ultrasound and multi-slice spiral CT in the differential diagnosis of renal eosinophilic adenoma and chromophobe cell carcinoma. [J]. Journal of Clinical Ultrasound in Medicine 24(3).(2022)
DOI：

The value of ultrasound and multi-slice spiral CT in the differential diagnosis of renal eosinophilic adenoma and chromophobe cell carcinoma. [J]. Journal of Clinical Ultrasound in Medicine 24(3).(2022) DOI：

摘要

目的探讨超声与多层螺旋CT对肾嗜酸细胞腺瘤及嫌色细胞癌的鉴别诊断价值。方法：回顾性分析经手术及病理证实的45例嫌色细胞癌和30例肾嗜酸细胞腺瘤临床资料

研究时间为2017年2月至2020年10月

均予以超声与多层螺旋CT检查

对比肾嗜酸细胞腺瘤与嫌色细胞癌的CT征象

观察平扫、皮质期、实质期、排泄期等时期的LKR值、△AT、△TTP、△PI

以及分析各期LKR值、△AT、△TTP、△PI、联合诊断的ROC曲线。结果常规超声表现：肾嗜酸细胞腺瘤与嫌色细胞癌在病灶性质、回声、形态及边界比较中

差异无统计学意义(P＞0.05)。超声造影表现：肾嗜酸细胞腺瘤与嫌色细胞癌在增强方式、减退方式比较中

差异无统计学意义(P＞0.05)；肾嗜酸细胞腺瘤与嫌色细胞癌在峰值强度、增强均匀度、假包膜、△AT、△TTP、△PI比较中存在统计学意义(P＜0.05)。CT征象分析可见

肾嗜酸细胞腺瘤与嫌色细胞癌在星芒状瘢痕、均匀强化比较中存在统计学意义(P＜0.05)；肾嗜酸细胞腺瘤与嫌色细胞癌在囊变、坏死、钙化、包膜、轮辐状强化、节段性增强反转、出血所占比中差异无统计学意义(P＞0.05)。肾嗜酸细胞腺瘤与肾嫌色细胞癌的平扫LKR值比较

差异无统计学意义(P＞0.05)；肾嗜酸细胞腺瘤皮质期、实质期及排泄期的LKR值高于肾嫌色细胞癌(P均＜0.05)。ROC曲线分析显示

多层螺旋CT中平扫、皮质期、实质期、排泄期的LKR AUC值分别为(0.525、0.931、0.800、0.850

P＜0.05)；△AT、△TTP、△PI的AUC值分别为(0.990、0.673、0.909

P＜0.05)；联合诊断的AUC值为(0.955

P＜0.05)。结论超声与多层螺旋CT在嫌色细胞癌诊断中均具有较高的预测价值

尤其是超声造影

能为肾嗜酸细胞腺瘤和嫌色细胞癌的鉴别提供重要信息

但为了避免漏诊情况发生

建议上述两种方法临床联合诊断。

Abstract

Objective To investigate the value of ultrasound and multi-slice spiral CT in the differential diagnosis of renal eosinophilic adenoma and chromophobe cell carcinoma. Methods The clinical data of 45 cases of chromophobe cell carcinoma and 30 cases of renal eosinophilic adenoma confirmed by surgery and pathology were retrospectively analyzed. The study period was from February 2017 to October 2020. Both ultrasound and multi-slice spiral CT were performed. Compare the CT signs of renal eosinophilic adenoma and chromophobe cell carcinoma

observe the LKR value

△AT

△TTP

△PI of the plain scan

cortical phase

parenchymal phase

and excretion phase

and analyze the LKR value of each phase

ROC curve of △AT

△TTP

△PI

combined diagnosis. Results Routine ultrasound findings: renal eosinophilic adenoma and chromophobe cell carcinoma had no significant difference in the nature

echo

morphology and boundary of the lesion (P>0.05).Contrast-enhanced ultrasound findings: There was no statistically significant difference between renal eosinophil adenoma and chromophobe cell carcinoma in the enhancement mode and the decrease mode (P>0.05);Renal eosinophilic adenoma and chromophobe cell carcinoma had statistical significance in peak intensity

enhancement uniformity

pseudocapsule

△AT

△TTP

and △PI (P＜0.05).CT analysis showed that renal eosinophilic adenoma and chromophobe cell carcinoma were statistically significant in the comparison of star-shaped scars and uniform enhancement (P＜0.05); renal eosinophilic adenoma and chromophobe cell carcinoma were in cystic change There was no statistically significant difference in the proportions of

necrosis

calcification

capsule

spoke-like enhancement

segmental enhancement reversal

and bleeding (P>0.05).There was no significant difference in the LKR values of renal eosinophil adenoma and renal chromophobe cell carcinoma (P>0.05); the LKR values of renal eosinophil adenoma in cortical

parenchymal and excretory phases were higher than those in renal chromophobe cell carcinoma Chromophobe cell carcinoma (all P＜0.05).ROC curve analysis showed that the LKR AUC values of plain scan

cortical phase

parenchymal phase

and excretion phase in multi-slice spiral CT were (0.525

0.931

0.800

0.850

P<0.05); △AT

△TTP

△PI The AUC values were (0.990

0.673

0.909

P<0.05); the AUC value of the combined diagnosis was (0.955

P<0.05). Conclusion Both ultrasound and multi-slice spiral CT have high predictive value in the diagnosis of chromophobe cell carcinoma

especially contrast-enhanced ultrasound

which can provide important information for the differentiation of renal eosinophilic adenoma and chromophobe cell carcinoma

but in order to avoid missed diagnosis If it occurs

it is recommended that the above two methods be combined clinically for diagnosis.

关键词

超声多层螺旋CT肾嗜酸细胞腺瘤嫌色细胞癌鉴别

Keywords

Ultrasoundmulti-slice spiral CTrenal eosinophil adenomachromophobe cell carcinomaDifferentiation

references

查看原文

Views

233

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of ultrasound in the differential diagnosis and treatment of metastatic neuroendocrine tumors of the liver

The Application Value of Ultrasound Gray Scale Ratio Based on C-TIRADS Positive Features in Distinguishing Thyroid Contracted Nodules from Thyroid Papillary Cancer

Effects of ultrasound-guided thermal ablation on prognosis in patients with advanced colon adenocarcinoma and colorectal liver metastasis

Clinical Application of Two-Dimensional Ultrasound Combined with Three-Dimensional Ultrasound in the diagnosis of Cord-like Structures in Gravid Uterus

Application value of diaphragmatic ultrasonography in respiratory function assessment of premature infants

Related Author

梁娴

黄利

符慧

吕宁

唐丹丹

杨璐

刘媛媛

崔晓梅

Related Institution

The First Affiliated Hospital of Hainan Medical University

Department of special diagnosis and treatment,Eastern Theater Command General Hospital Qinhuai Medical Treatment Area of the Chinese People’s Liberation Army

泰康仙林鼓楼医院

电子科技大学医学院附属绵阳医院绵阳市中心医院

电子科技大学医学院附属绵阳医院绵阳市中心医院肿瘤科

⁰