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1、AmsaluDabela,HMSIIISeptember2006GillianLieberman,MDFiveViewsofTransitionalCellCarcinoma:OneMan’sJourneyAmsaluDabela,HarvardMedicalSchoolIIIGillianLieberman,MDAmsaluDabela,HMSIIIGillianLieberman,MDOutline•Overview:RenalAnatomy•OurPatient’sStory•Diagnost
2、icImagingStudies–AppearanceofTransitionalCellCarcinoma(TCC)onfivedifferentimagingmodalities:Ultrasound,MRI,CTUrography,RetrogradePyelogram,andRadionuclidescan•Diagnosis,TumorStaging&Prognosis•Summary2AmsaluDabela,HMSIIIGillianLieberman,MDOverview:Renal
3、&UrinaryTractAnatomySource:“Genitourinary&KidneyDisorders.”LucilePackardChildren’sHospitalatStanford.3http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/urology/urinaryant.htmlandhttp://www.lpch.org/DiseaseHealthInfo/HealthLibrary/urology/overkidn.htm
4、lAmsaluDabela,HMSIIIGillianLieberman,MDOverview:CTRetroperitonealAnatomySource:Corl,F.“MedicalIllustrations:Normalretroperitoneum.”4www.CTisus.org/gallery/index.html.AmsaluDabela,HMSIIIGillianLieberman,MDOurPatientJohnDoe,a79-year-oldobesemanwithhypert
5、ension,recurrenthematuria,anda50-pack-yearhistoryofsmoking,presentstoanoutsidehospitalwithabdominalpain.IsthereanAbdominalAorticAneurysm?5AmsaluDabela,HMSIIIGillianLieberman,MDImaging:JD’sRightUpperQuadrantUltrasoundSagittalrightkidneySource:Courtesyof
6、MaraBarth,MD;BIDMC6AmsaluDabela,HMSIIIGillianLieberman,MDImaging:SagittalRightKidneyUltrasoundPatientJDNormalComparisonSource:CourtesyofMaraBarth,MD;BIDMC7AmsaluDabela,HMSIIIGillianLieberman,MDFindings:JD’sUltrasound•Outsidehospitalperformedabdominalul
7、trasoundandruledoutaorticaneurysm•Findings:Hypoechoiclesionwithirregularbordersatupperpoleofrightkidney.However,kidneyswerenotthetargetorgansofinterestandweredeemed“unremarkable”•Nextstep:MRItoexaminekidneys8AmsaluDabela,HMSIIIGillianLieberman,MDImagin
8、g:JD’sT1-weightedMRICoronalAxialSource:CourtesyofMaraBarth,MD;BIDMC9AmsaluDabela,HMSIIIGillianLieberman,MDFindings:JD’sMRI•OutsidehospitalperformedMRItoevaluatekidneys•Findings:Softtissuemasswithirregularbordersatupperpoleofrightkidney•
