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전이성 신장암의 CT 및 초음파 소견
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  • 전이성 신장암의 CT 및 초음파 소견
저자명
김승협
간행물명
대한방사선의학회지
권/호정보
1995년|32권 2호|pp.307-313 (7 pages)
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대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose: To evaluated imaging characteristics of metastatic renal tumors in CT and US. Materials and methods:Renal metastases were diagnosed in 25 patients by surgery (n=2), US-guided biopsy (n=15), or follow-up CT (n=8).The primary tumors metastasized to kidney were lung cancer (n=11), adenoid cystic carcinoma (n=3), stomach cancer(n=2), and choriocarcinoma (n=2). Twelve cases invloved one kidney and 13 invloved both kidneys. CT was performedin all 25 patients while US was done in 14. We analysed CT findings in respect to number, size, shape, exophyticdegree, margin, and degree and homogeneity of the contrast enahncement of the lesion ; US findings in regand toechogenicity and homogeneity of the lesion. Results: The average number of the lesions per patient seen on CT wasthree; average diameter of the lesion was 3.6 cm; and 75% (57/76) of all tumors had exophytic degree of 0%. Thecharacteristic CT findings of metastatic renal tumors were round shape (52/76), ill-defined margin (54/76), andpoor (76/76) and inhomogeneous (45/76) contrast enhancement. The echogenicity of the tumors were homogeneous(11/18) and isoechoic (10/18) on US. Conclusion: Metastatic renal tumors had a tendency of multiple, small,ill-marginated, and less-exophytic nature on CT, and homogeneous, isoechoic appearance on US. The familiarity withthe constellation of CT and US findings of renal metastasis described may be helpful in making a correctdiagnosis.