X線上striated vascular patternを示した腎癌の病理学的検討

PATHOLOGIC EVALUATION ON NEPHRECTOMY SPECIMEN OF A PATIENT WITH HYPERNEPHROMA SHOWING "STRIATED VASCULAR PATTERN" ON RENAL ANGIOGRAM

緒言

　選択的腎血管撮影は腎癌の診断に欠かせない方法である。同時に，この検査により腎癌の存在以外に，癌の腎静脈および下大静脈への浸潤がX線的に診断できることがある。われわれは最近，Fcrrisらにより報告された"striated vascular patt-ern"を示した腎癌を経験したので，病理学的検索を主としてX線的関連および臨床的意義についてここに報告する。

A case of hypernephroma showing linear "striated vascular pattern" in the films by selective renal angiography was presented. Nephrectomy specimen was examined pathologically for verification of the change on renal angiogram and subsequently radiologic correlation was inferred. A special emphasis is laid on the preoperative radiologic diagnosis of renal cell carcinoma involving renal vein and inferior vena cava through review of literature in order to predict patients' prognoses and to make preparation for radical treatment if feasible.

According to Ferris et al.