| 78例恶性肿瘤患者中偶发性肾上腺肿瘤的诊断分析 |
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| 引用本文： | 殷磊,李振华,孔垂泽. 78例恶性肿瘤患者中偶发性肾上腺肿瘤的诊断分析[J]. 中国医科大学学报, 2011, 40(9): 837-838,843 |
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| 作者姓名： | 殷磊 李振华 孔垂泽 |
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| 作者单位： | 中国医科大学附属第一医院泌尿外科,沈阳,110001 |
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| 摘 要： | 目的探讨恶性肿瘤患者中偶发性肾上腺肿瘤的诊断方法。方法对2001 年6 月至2009 年1 月我院收治的78 例恶性肿瘤患者中偶发性肾上腺肿瘤的临床资料进行回顾性分析。结果78例患者中肾上腺偶发瘤的大小为0.8耀7.0 cm，42 例手术治疗者中术后病理诊断为良性病变35 例（35/42，83.3%），恶性肿瘤均为转移癌（7/42，16.7%）。其中平扫CT 值≤30 HU、肿瘤直径≤4.0 cm的27例肾上腺偶发瘤均为良性病变，15 例平扫CT 值>30 HU、肿瘤直径>4.0 cm 肿瘤中7例（46.7%）为转移癌，两组恶性肿瘤所占比例差异有统计学意义（ P< 0.01）。结论对于恶性肿瘤患者的偶发性肾上腺肿瘤，肿瘤的平扫CT 值>30HU且直径> 4.0 cm时转移癌的可能性较大，肿瘤的平扫CT 值≤30 HU且直径≤4.0 cm时一般为良性肿瘤。
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| 关 键 词： | 肾上腺偶发瘤 CT 诊断 |
Diagnosis of 78 Cases of Adrenal Incidentaloma in Patients with Malignant Tumors |
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| YIN Lei , LI Zhen-hua , KONG Chui-ze. Diagnosis of 78 Cases of Adrenal Incidentaloma in Patients with Malignant Tumors[J]. Journal of China Medical University, 2011, 40(9): 837-838,843 |
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| Authors: | YIN Lei LI Zhen-hua KONG Chui-ze |
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| Affiliation: | YIN Lei,LI Zhen-hua,KONG Chui-ze(Department of Urology,The First Hospital,China Medical University,Shenyang 110001,China) |
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| Abstract: | Objective To evaluate the diagnostic methods of adrenal incidentalomas in the patients with malignant tumors.Methods The clinical data of 78 cases of adrenal incidentalomas in patients with malignant tumors admitted from June 2001 to January 2009 were analyzed retrospectively.Results Among the 78 patients,the size of adrenal incidentalomas was 0.8 cm to 7.0 cm.42 cases underwent surgical management.Among them,35 were benign(35/42,83.3%),and all the malignant tumors were metastatic cancer(7/42,16.7%).The 27 ... |
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| Keywords: | adrenal incidentalomas computed tomography diagnosis |
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