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肾上腺无功能肿瘤的超声定位诊断
引用本文:钱月华,龚新环. 肾上腺无功能肿瘤的超声定位诊断[J]. 中华超声影像学杂志, 2000, 9(4): 237-239
作者姓名:钱月华  龚新环
作者单位:1. 上海宝山区中医医院超声科,201900
2. 200025,上海第二医科大学附属瑞金医院超声科
摘    要:目的 探讨超声检查对肾上腺无功能肿瘤的诊断价值。方法 对照分析106例肾上腺无功率肿瘤的超声检查和手术病理结果。结果 106例患者中,超声诊断真阳性103例,真阴性、假阳性、假阴性各1例,敏感性、特异性、准确性分别为99.0%、50.0%和98.1%。肾上腺无功能肿瘤呈逐年增多趋势,被超声首次检出者为77.9%。肿瘤从小到大依次为腺瘤、嗜铬细胞瘤、神经鞘瘤、髓样脂肪瘤、节细胞瘤、腺癌。各种肿瘤的大

关 键 词:超声检查 肾上腺肿瘤 诊断
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Stuffy on localization of adrenal functionless tumor by ultrasonography
QIAN Yuehua,GONg Xinhuan. Stuffy on localization of adrenal functionless tumor by ultrasonography[J]. Chinese Journal of Ultrasonography, 2000, 9(4): 237-239
Authors:QIAN Yuehua  GONg Xinhuan
Abstract:Objective To evaluate the localization of adrenal functionless tumor by ultrasonography(US).Methods One hundred and six patients with adrenal functionless tumor were examined by US and subsequently proved by surgery and pathology. Results In 106 cases, true positive was 103, true negative, false positive and false negative were 1 each. The sensitivity, specificity and accuracy was 99.0 %, 50.0 % and 98.1 %, respectively. The adrenal functionless tumor tended increasing year by year. Tumors detected at very first by US were 77.9 %. Tumor size distribution was gradually increasing as following: adenoma, pheochromocytoma(PHEO), neurilemmoma, myelolipoma, gangliocytoma and adenocarcinoma,in which there is significant difference.The myelolipoma presented charactersitically hyperecho feature to be easily distinguished from other tumors. The echo features in the rest tumors wese crossed seriously. The larger PHEO and neurilemmoma often showed up liquid area. Adenocarcinoma often had chaotic echo. Conclusions US is a reliable examination of the first choice for localizing diagnosis of adrenal functionless tumor and also helpful in differentiating histopathologically.
Keywords:Ultrasonography  Adrenal gland neoplasms
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