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肾上腺肿瘤及肿瘤样病变的CT诊断
引用本文:沈宣文. 肾上腺肿瘤及肿瘤样病变的CT诊断[J]. 实用医学影像杂志, 2008, 9(6): 378-380
作者姓名:沈宣文
作者单位:江苏省苏州市立医院北区放射科,江苏,苏州,215008
摘    要:
目的探讨螺旋cT扫描对肾上腺肿瘤及肿瘤样病变的诊断及鉴别诊断价值。方法回顾性分析65例共73个肾上腺肿瘤及肿瘤样病变的cT表现,与手术病理对照。结果65例肾上腺占位病变中,肾上腺增生12例,腺瘤18例,皮质癌7例,肾上腺转移癌11例,嗜铬细胞瘤7例,髓样脂肪瘤4例,神经节瘤2例,肾上腺畸胎瘤、血肿、囊肿及结核各1例。肾上腺良性病变直径多小于3cm,边界清晰(73.9%,34/46),48.4%的恶性肿瘤直径大于3cm。肾上腺转移瘤多双侧发病(6,11)。4例肾上腺髓脂瘤均呈脂肪为主型。结论螺旋CT扫描对肾上腺病变的诊断及鉴别诊断具有重要价值,并有助于选择治疗方案和判断预后。

关 键 词:肾上腺肿瘤  肿瘤样病变  体层摄影术  x线计算机

CT diagnosis of adrenal tumors and tumor-like lesions
Shen Xuanwen. CT diagnosis of adrenal tumors and tumor-like lesions[J]. Journal of Practical Medical Imaging, 2008, 9(6): 378-380
Authors:Shen Xuanwen
Affiliation:Shen Xuanwen. Department of Radiology,Jiangsu Provincial Suzhou Munici-pal Hospital North District,Suzhoushi 215008,China
Abstract:
Objective To discuss the value of spiral CT scanning in the diagnosis and differential diagnosis of adrenal tumors and tumor-like lesions. Methods CT findings of 73 adrenal tumors and tumor-like lesions in 65 patients were retrospectively analyzed and compared with pathology. Results Among 65 patients,adrenal hyperpalasia was found in 12,adenoma in 18,adrenocortical carcinoma in 7,metastatic tumors in 11,pheochromocytoma in 7,myelolipoma in 4,ganglioneuroma in 2,and teratoma,hematoma,cyst,tuberculosis in 1 ...
Keywords:Adrenal tumors  Tumor-like lesions  Tomography  X-ray computed  
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