|
|
Correlation between CT Imaging Features and Survival Status of Renal Clear Cell Carcinoma |
LIU Wei, XI Xin-long |
Xi'an first hospital, Xi'an 255400 |
|
|
Abstract 【Objective】To analyze the CT features and postoperative survival status of patients with renal clear cell carcinoma. 【Methods】From July 2015 to July 2017, 93 patients with renal clear cell carcinoma were selected. All patients underwent CT examination before operation and pathological examination after operation. According to the results of postoperative pathological examination, they were divided into observation group (high-grade renal clear cell carcinoma, n=37) and control group (low-grade renal clear cell carcinoma, n=56). The patients in both groups were scanned with GE Linght?speed 16 slice spiral CT. The results of CT examination were analyzed by two doctors with intermediate title or above in imaging department. The general data of the two groups were compared, mainly including: gender, age, tumor location, tumor stage. The tumor size, lobulation, hemorrhage, necrosis, capsule and CT value of the two groups were compared. The follow-up time was 1~5 years. The results of death, metastasis and survival were compared between the two groups. 【Results】There was no significant difference in sex, age, tumor location between the two groups (P>0.05). The proportion of patients above T2 in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). There was no significant difference in maximum diameter, lobulation or none, CT value of enhanced scan in each periodand and bleeding necrosis , etc between the two groups (P>0.05).The CT value of the control group was lower than that of the observation group, and the integrity of the capsule was higher than that of the observation group (P<0.05). The survival rate of the control group was lower than that of the observation group (P<0.05). 【Conclusion】The capsule of high-grade clear renal cell carcinoma is often incomplete, and the CT value of plain scan is high, which indicates that the degree of tumor deterioration is high, which is closely related to the prognosis of patients.
|
Received: 25 May 2018
|
|
|
|
|
[1] 江卫星,寿建忠.转移性肾细胞癌免疫治疗的现状与进展[J].中华泌尿外科杂志,2017,38(7):555-558.
[2] Kim C,Choi HJ,Cho KS,et al.Diagnostic value of multidetector computed tomography for renal sinus fat invasion in renal cell carcinoma patients[J].Eur J Radiol,2014,83(6):914-918.
[3] 李泉林,关宏伟,张秋萍,等.华人肾细胞癌多中心病灶及相关因素的研究[J].中华医学杂志(英文版),2002,115(9):1341-1344.
[4] 赵振威,李延江.肾细胞癌流行病学的研究进展[J].山东医药,2013,53(7):95-97.
[5] 刘学玲,邹新农,陈宏伟,等.多排螺旋CT动态增强扫描对乳头状肾细胞癌与嫌色细胞肾癌的鉴别诊断价值[J].中华肿瘤杂志,2015,37(1):52-56.
[6] 张进,王共先,郭剑明,等.肾细胞癌随访5年生存分析及预后相关因素的多中心研究[J].中华泌尿外科杂志,2015,36(2):113-117.
[7] 赵金坤,叶兆祥,陈旭升,等.不同病理分级肾透明细胞癌与CT表现的相关性分析[J].临床放射学杂志,2015,34(8):1233-1237.
[8] 周祖邦,谢金会,李淑兰,等.超声造影对不同分期肾透明细胞癌诊断价值探讨[J].中国超声医学杂志,2015,31(11):997-999.
[9] 陈安良,刘爱连,刘静红,等.平扫CT能谱成像对乏脂肪肾血管平滑肌脂肪瘤与肾透明细胞癌的鉴别价值[J].临床放射学杂志,2016,35(2):245-249. |
[1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2019, 36(9): 1822-1824. |
|
|
|
|