石双任,陈宏伟,鲍健,姚选军.肾上腺外髓性脂肪瘤的CT诊断[J].中国医学影像技术,2011,27(10):2075~2078
肾上腺外髓性脂肪瘤的CT诊断
CT diagnosis of extra-adrenal myelolipoma
投稿时间:2011-04-03  修订日期:2011-06-17
DOI:
中文关键词:  髓性脂肪瘤  体层摄影术,X线计算机  诊断,鉴别
英文关键词:Myelolipoma  Tomography, X-ray computed  Diagnosis, differential
基金项目:
作者单位E-mail
石双任 南京医科大学附属无锡市人民医院放射科,江苏 无锡 214023  
陈宏伟 南京医科大学附属无锡市人民医院放射科,江苏 无锡 214023 ssq1219@126.com 
鲍健 南京医科大学附属无锡市人民医院放射科,江苏 无锡 214023  
姚选军 南京医科大学附属无锡市人民医院放射科,江苏 无锡 214023  
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中文摘要:
      目的 探讨肾上腺外髓性脂肪瘤的CT表现。 方法 回顾性分析5例经手术病理证实的肾上腺外髓性脂肪瘤患者的CT平扫及增强表现。 结果 5例患者中,男4例,女1例。全部病例均为单发病灶,2例病灶位于右侧纵隔,1例位于后腹膜,1例位于肝脏,1例位于盆腔。5例CT平扫均表现为圆形、梭形混杂密度肿块,边界清晰,肿块内见不均匀脂肪密度,4例可见假包膜形成;增强后病灶实性部分轻度或中度强化,脂肪密度无强化。 结论 肾上腺外髓性脂肪瘤的CT表现具有一定特征性。
英文摘要:
      Objective To observe CT features of extra-adrenal myelolipoma. Methods Plain and enhanced CT images of 5 patients with extra-adrenal myelolipoma proved by surgery and pathology were retrospectively analyzed. Results Four patients were male and one was female. All of the patients had solitary tumor, 2 tumors located in the right mediastinum, 1 located in the retroperitoneal space, 1 located in the liver and 1 located in the cavitas pelvis. Round or spindle mass of mixed density were observed in plain CT images, sharp border and uneven fat density were showed. Pseudo-capsule was observed in 4 cases. After contrast medium administration, solid component of the masses enhanced slightly or moderately, while the component of fatty density did not enhance. Conclusion CT features of extra-adrenal myelolipoma have certain characteristics.
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