王洁,马红霞,李卫勇,韩恩善,张雪.肾上腺皮质癌超声与病理相关性研究[J].中国医学影像技术,1998,14(11):798~799
肾上腺皮质癌超声与病理相关性研究
A Study of Correlation of Ultrasound with Pathology in Adrenal Cortex Carcinoma
投稿时间:1998-07-24  
DOI:
中文关键词:  肾上腺皮质癌  超声  病理
英文关键词:Adrenal  cortex  carcinoma  Ultrasound  Pathology
基金项目:
作者单位
王洁 宁夏医学院附属医院B超室 
马红霞 宁夏医学院附属医院B超室 
李卫勇 宁夏医学院附属医院B超室 
韩恩善 宁夏医学院附属医院B超室 
张雪 宁夏医学院附属医院B超室 
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中文摘要:
      目的:研究肾上腺皮质癌声像图特征及其与病理结构的相关性。方法:回顾性分析经二维及彩色多普勒超声诊断的并经手术病理证实的14例肾上腺皮质癌患者。结果:14例病例全部经超声与病理分析研究表明, 等回声组所见比例最大, 占43%(6/14);强回声组占29%(4/14);低回声组占14%(2/14);混合回声2例占14%.B超定位诊断符合率为93%(13/14);定性诊断符合率为57%(8/14).结论:①肾上腺皮质癌的声像图特征为:肿瘤是以等回声为主的较大肿瘤, 本组均大于7.6cm;肿瘤形态多样, 以不规则形及分叶状常见;彩色多普勒血流显示瘤内及瘤周血流丰富;肿瘤内多见液化坏死。②与病理结构的相关性为肿瘤内回声的高低与肿瘤细胞的大小、排列情况、血管纤维组织及坏死等病理结构含量多少有关。
英文摘要:
      Objective:To study the feature of ultrasound imaging and the correlation with pathologic structure in adrenal cortex carcinoma.Method:The retrospective study was done in 14 patients with adrenal cortex carcinoma diagnosed by two dimensional and color doppler sonography and confirmed by pathology.Results:The results after study of ultrasound analysis and pathology indicated that the group of equal echo was account for 43%(6/14),the group of high echo 29%(4/14),the group of low echo 14%(2/14),and the group of mixed echo 14%(2/14).The rate of coincidence of location diagnosis was 93%(13/14),and the rate of coincidence of qualification was 57%(8/14).Conclusion:①The feature of ultrasound imaging in adrenal cortex carcinoma was:that the tumor was big one mainly with equal echo,more than 7.6cm in diameter in present study;that the tumor had a varying shape,commonly with irregular and multi lobe shape;that detection of blood flow of color dopper sonography showed that the tumor and the surrounding region of the tumor had a plenty of blood flow supply;that the liquid necrosis inside the tumor was seen frequently.②The correlation study demonstrated that the different echo in tumor was correlated with size and arrangement of tumor cells,the contents of pathologic structure of vascular and fibril tissues and necrosis.
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