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Volume 41 Issue 2
May  2018
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Article Contents
Lizhen LUO, Dongxu LIU, Zongbao ZHANG, Feng CAI, Jinchi HUANG. CT diagnosis and differential diagnosis of adrenal tumor and tumor-like lesions[J]. Journal of Molecular Imaging, 2018, 41(2): 152-156. doi: 10.3969/j.issn.1674-4500.2018.02.04
Citation: Lizhen LUO, Dongxu LIU, Zongbao ZHANG, Feng CAI, Jinchi HUANG. CT diagnosis and differential diagnosis of adrenal tumor and tumor-like lesions[J]. Journal of Molecular Imaging, 2018, 41(2): 152-156. doi: 10.3969/j.issn.1674-4500.2018.02.04

CT diagnosis and differential diagnosis of adrenal tumor and tumor-like lesions

doi: 10.3969/j.issn.1674-4500.2018.02.04
  • Received Date: 2018-02-11
  • Publish Date: 2018-04-01
  • Objective To explore the CT features of tumor and tumor-like lesions from different origins of the adrenal area, and to improve the related diagnosis and differential diagnosis. Methods CT findings of 158 cases with adrenal tumors or tumor-like lesions confirmed by operation, pathology or clinical follow-up were retrospectively analyzed. Features of these adrenal tumor and tumor-like lesions, including origin, shape, size, density, and enhancing features, were summarized. Results The tumor or tumor-like lesions in 130 cases were originated from adrenal gland, including 52 cases of adrenocortical adenoma, 6 cases of adrenal myelolipoma, 14 cases of pheochromocytoma, 3 cases of cyst, 3 cases of ganglioneuroma, 36 cases of metastatic tumor, 8 cases of sebaceous carcinoma, 3 cases of tuberculosis, and 5 cases of teratoma; and 28 cases were from non-adrenal sources, including 8 cases of retroperitoneal liposarcoma, 3 case of gastric diverticulum, 5 case of pancreatic pseudocyst, 5 case of hepatic cystic metastasis, and 7 case of cystic renal carcinoma. Conclusion Spiral CT is accurate in the positioning and characterization of adrenal gland tumors and tumor-like lesions, and the CT findings have certain characteristics, thus both helpful to clinical diagnosis and treatment.

     

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  • [1]
    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): 378-80. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_syyxyxzz200806013
    [2]
    赵 莹, 刘爱连, 刘静红, 等. 肾上腺腺瘤宽体探测器CT灌注成像特点[J]. 中国医学影像技术, 2017, 33(11): 1674-9. http://news.medlive.cn/xctmr/info-progress/show-140291_241.html
    [3]
    李果珍. 临床CT诊断学[M]. 北京: 中国科学技术出版社, 1994: 506.
    [4]
    苏建堂, 尤国才, 眭元康, 等. 肾上腺髓质脂肪瘤(附9例报告) [J]. 中华泌尿外科杂志, 2001, 22(1): 23-4.
    [5]
    李松年, 唐光健. 现代全身CT诊断学, 下卷[M]2版. 北京: 中国医药科技出版社, 2007: 1661-3.
    [6]
    陈灏珠. 实用内科学[M]. 10版. 北京: 人民卫生出版社, 1997.
    [7]
    Foster DG. Review of literature and report of case[J]. Arch Surg, 1966, 92(8): 131-43.
    [8]
    张开颜, 邢金春, 李 伟, 等. 肾上腺囊肿16例诊疗分析[J]. 中华临床医师杂志:电子版, 2011, 5(20): 5974-8. http://d.wanfangdata.com.cn/Periodical_zhlcyszz201120025.aspx
    [9]
    周建军, 曾维新, 周康荣, 等. 肾上腺节细胞神经瘤的CT诊断价值[J]. 中华放射学杂志, 2006, 40(10): 1021-3. doi: 10.3760/j.issn:1005-1201.2006.10.004
    [10]
    张凤艳. 肾上腺节细胞神经瘤的CT诊断[J]. 实用医学影像杂志, 2011, 12(04): 245-51. doi: 10.3969/j.issn.1009-6817.2011.04.014
    [11]
    张旭升, 郑晓林, 谢浩锋, 等. 肾上腺肿瘤的CT特征分析[J]. 中国CT和MRI杂志, 2011, 9(04): 49-51. doi: 10.3969/j.issn.1672-5131.2011.04.017
    [12]
    Abiven GF. Adrenocortical carcinoma and pregnancy:clinical and biological features and prognosis[J]. Eur J Endocrinol, 2010, 163(5): 793-800. doi: 10.1530/EJE-10-0412
    [13]
    王福江, 李 建, 耿军祖. MSCT在肾上腺结核诊断中的应用[J]. 中国中西医结合影像学杂志, 2007, 5(03): 223-4. doi: 10.3969/j.issn.1672-0512.2007.03.024
    [14]
    肖力华. 肾上腺畸胎瘤的CT表现[J]. 西南军医, 2008, 10(05): 34-5. doi: 10.3969/j.issn.1672-7193.2008.05.020
    [15]
    杨延斌, 何 祥, 周桂林, 等.腹部良性畸胎瘤CT影像诊断分析[J]. 总装备部医学学报, 2010, 12(4): 228-32.
    [16]
    杨丛义. 腹膜后脂肪肉瘤的CT诊断[J]. 黑龙江医药科学, 2001, 24(2): 113-7. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_yiyqy201327049
    [17]
    吴锡渊. 腹膜后脂肪肉瘤的CT诊断(附17例报告) [J]. 现代实用医学, 2010, 22(8): 892-3. http://med.wanfangdata.com.cn/Paper/Detail?id=PeriodicalPaper_nbyx201008025
    [18]
    lliott S, Sandler AD, Meehan JJ, et al. Surgical treatment of a gastric diverticulum in an adolescent[J]. J Pediatr Surg, 2006, 41(9): 1467-72.
    [19]
    谢 敏. 胰腺假性囊肿的CT诊断[J]. 齐齐哈尔医学院学报, 2009, 30(20): 2536-9. doi: 10.3969/j.issn.1002-1256.2009.20.041
    [20]
    陈 杰, 史振峰, 任永芳. 囊性肾癌的CT特征分析[J]. 医学影像学杂志, 2015, 25(9): 1628-32. http://www.cnki.com.cn/Article/CJFDTOTAL-XYXZ201509035.htm
    [21]
    闵立贵, 文 彬, 王英刚, 等.250例肾上腺肿瘤临床分析[J]. 现代泌尿外科杂志, 2010, 15(5): 340-2. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_xdmnwkzz201005008
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