腎細(xì)胞癌的TNM分期及CT價(jià)值PPT通用課件

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,11/7/2009,#,單擊此處編輯母版標(biāo)題樣式,單擊此處編輯母版文本樣式,第二級(jí),第三級(jí),第四級(jí),第五級(jí),*,腎細(xì)胞癌的,CT,表現(xiàn),CT Features and Staging of Renal Carcinoma,李振輝,，,Lee Zhenhui,昆明醫(yī)科大學(xué)第三附屬醫(yī)院放射科,Radiology Department,Third,Affiliated Hospital,KMMU,云 南 省 腫 瘤 醫(yī) 院 放 射 科,Radiology Department,Yunnan Tumor Hospital,Part IIRCC,的臨床分期及,CT,影像價(jià)值,腎細(xì)胞癌的,Robson,分期,分 期,標(biāo) 準(zhǔn),I,期,腎癌癌細(xì)胞位于腎包膜內(nèi),II,期,腎癌癌細(xì)胞侵入腎周圍脂肪，在仍然局限于腎周圍筋膜內(nèi),III,期,腎癌癌細(xì)胞侵犯腎靜脈或局部淋巴結(jié)，有,/,無下腔靜脈、腎周圍脂肪受累,a,期,腎癌癌細(xì)胞侵犯腎靜脈或下腔靜脈,b,期,區(qū)域性淋巴結(jié)受累,c,期,同時(shí)累及腎靜脈、下腔靜脈、淋巴結(jié),(,同側(cè)腎上腺,),IV,期,腎癌癌細(xì)胞遠(yuǎn)處轉(zhuǎn)移或侵犯鄰近器官,a,期,腎癌癌細(xì)胞侵犯除腎上腺外的鄰近器官,b,期,腎癌癌細(xì)胞遠(yuǎn)處轉(zhuǎn)移,腎細(xì)胞癌的,Robson,分期,腎細(xì)胞癌的,TNM,分期,分期,標(biāo)準(zhǔn),分期,標(biāo)準(zhǔn),原發(fā)腫瘤,(T),區(qū)域淋巴結(jié)（,N),TX,原發(fā)腫瘤無法評(píng)估,NX,區(qū)域淋巴結(jié)無法評(píng)估,T0,無原發(fā)腫瘤的證據(jù),N0,沒有區(qū)域淋巴結(jié)轉(zhuǎn)移,T1,腫瘤局限于腎臟，最大徑,7cm,N1,有區(qū)域淋巴結(jié)轉(zhuǎn)移,T1a,腫瘤最大徑,4cm,T1b,4cm7cm,M0,無遠(yuǎn)處轉(zhuǎn)移,T2a,7cm10cm,T3,腫瘤侵及腎靜脈或除同側(cè)腎上腺外的腎周圍組織，但未超過腎周圍筋膜,T3a,腫瘤侵及腎靜脈或侵及腎靜脈分支的腎段靜脈,(,含肌層的靜脈,),或侵犯周圍脂肪和,(,或,),腎竇脂肪,(,腎孟旁脂肪,),，但是未超過腎周圍筋膜,T3b,腫瘤侵及橫膈下的下腔靜脈,T3c,腫瘤侵及橫膈上的下腔靜脈,T4,腫瘤侵透腎周筋膜，包括侵及鄰近腫的同側(cè)腎上腺,腎細(xì)胞癌的,TNM,分期,-T1a,腎細(xì)胞癌的,TNM,分期,-T1a,腎細(xì)胞癌的,TNM,分期,-T1b,腎細(xì)胞癌的,TNM,分期,-T1b,腎細(xì)胞癌的,TNM,分期,-T2,T2a,T2b,腎細(xì)胞癌的,TNM,分期,-T2,T2a,T2b,腎細(xì)胞癌的,TNM,分期,-T3a,侵及腎周,侵及腎竇,侵及腎,V,腎細(xì)胞癌的,TNM,分期,-T3a,侵及腎周,侵及腎,V,腎細(xì)胞癌的,TNM,分期,-T3b/c,T3b,侵及膈下下腔靜脈,T3c,侵及膈上下腔靜脈,腎細(xì)胞癌的,TNM,分期,-T3c,腎細(xì)胞癌的,TNM,分期,-T4,T4,侵及同側(cè)腎上腺,T4,侵透腎周筋膜,腎細(xì)胞癌的,TNM,分期,-T4,T4,侵及同側(cè)腎上腺,T4,侵透腎周筋膜,腎細(xì)胞癌的,TNM,分期,-N,腎細(xì)胞癌的臨床分期,-M,部位,%,肺部,75,軟組織,35,骨骼,20,肝臟,20,腎上腺,19,皮膚,8,CNS,8,CT,影像在,RCC,分期的價(jià)值,Tumors Confined Within the Renal Capsule,Perinephric Spread of Tumor,Imaging of the Ipsilateral Adrenal Gland,Venous Spread of Tumor,Regional Lymph Node Metastases,Local Extension and Distant Metastases,CT,影像在,RCC,分期的價(jià)值,Tumors Confined Within the Renal Capsule,腫瘤局限性在腎內(nèi)（纖維囊內(nèi)）,CT,影像在,RCC,分期的價(jià)值,Perinephric Spread of Tumor,腫瘤侵及腎周,CT,影像在,RCC,分期的價(jià)值,Imaging of the Ipsilateral Adrenal Gland,觀察同側(cè)腎上腺,CT,影像在,RCC,分期的價(jià)值,Venous Spread of Tumor,腫瘤的靜脈擴(kuò)散,CT,影像在,RCC,分期的價(jià)值,Venous Spread of Tumor,腫瘤的靜脈擴(kuò)散,CT,影像在,RCC,分期的價(jià)值,Venous Spread of Tumor,腫瘤的靜脈擴(kuò)散,CT,影像在,RCC,分期的價(jià)值,Regional Lymph Node Metastases,區(qū)域淋巴結(jié)轉(zhuǎn)移,