Magnetic Resonance Imaging Versus Histopathology in Wilms Tumor and Nephroblastomatosis: 3 Examples of Noncorrelation

被引:11
作者
Cox, Sharon G. [1 ]
Kilborn, Tracy [2 ]
Pillay, Komala [3 ]
Davidson, Alan [4 ]
Millar, Alastair J. W. [1 ]
机构
[1] Univ Cape Town, Red Cross War Mem Childrens Hosp, Dept Paediat Surg, ZA-7700 Cape Town, South Africa
[2] Univ Cape Town, Red Cross War Mem Childrens Hosp, Dept Paediat Radiol, ZA-7700 Cape Town, South Africa
[3] Univ Cape Town, Red Cross War Mem Childrens Hosp, Dept Natl Hlth Lab Serv, ZA-7700 Cape Town, South Africa
[4] Univ Cape Town, Red Cross War Mem Childrens Hosp, Dept Haematol Oncol Serv, ZA-7700 Cape Town, South Africa
关键词
tumor histology; nephroblastoma; nephrogenic rests; magnetic resonance imaging; Wilms tumor; NEPHROGENIC RESTS; PEDIATRIC CT; LESIONS;
D O I
10.1097/MPH.0b013e318290c60d
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Magnetic resonance imaging (MRI) has become the principal tool for Wilms tumor (WT) assessment and follow-up. MRI and histopathologic findings were not congruent in 2 of the q30 scanned patients with renal masses (2008 to 2011). Three lesions thought to be WT on MRI were found to be a sclerotic nephrogenic rest (1), cystic renal dysplasia (1), and focal chronic pyelonephritis (1). The "typical" features suggesting nephroblastomatosis and WT on MRI are unreliable and such lesions require biopsy for histopathologic diagnosis, especially when nephron-sparing surgery is necessary to preserve renal function.
引用
收藏
页码:E81 / E84
页数:4
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