马小龙,汪建华,蒋慧,陆建平,刘崎.肾上腺皮质癌的CT表现[J].中国医学影像技术,2012,28(3):558~561
肾上腺皮质癌的CT表现
CT features of adrenocortical carcinoma
投稿时间:2011-08-10  修订日期:2011-10-22
DOI:
中文关键词:  肾上腺皮质癌  肾上腺肿瘤  体层摄影术,X线计算机
英文关键词:Adrenocortical carcinoma  Adrenal gland neoplasms  Tomography, X-ray computed
基金项目:
作者单位E-mail
马小龙 第二军医大学附属长海医院影像医学科, 上海 200433  
汪建华 第二军医大学附属长海医院影像医学科, 上海 200433  
蒋慧 第二军医大学附属长海医院病理科, 上海 200433  
陆建平 第二军医大学附属长海医院影像医学科, 上海 200433 luping@public4.sta.net.cn 
刘崎 第二军医大学附属长海医院影像医学科, 上海 200433  
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中文摘要:
      目的 探讨肾上腺皮质癌(ACC)的CT表现以及其与病理组织学的关系。方法 回顾性分析7例ACC患者的CT表现和病理资料。结果 所有肿瘤均表现为占据肾上腺区的直径>4 cm的巨大分叶状肿块,边缘清晰,具有明显的包膜结构,其中1例突破包膜侵犯肾静脉。肿瘤中央存在囊变结构和瘢痕组织,其中5例为星芒状,2为十字形。4例中心存在沙粒样钙化,所有肿瘤内部均有不同程度出血。结论 ACC具有特征性CT表现,与病理相结合有助于确诊。
英文摘要:
      Objective To explore the CT features of adrenocortical carcinoma (ACC) and the correlation with pathological findings. Methods CT imaging and pathological information of 7 patients of ACC were reviewed. Results All the tumors appeared as huge masses with diameter larger than 4 cm, with sharp edges and capsules occupied the area of adrenal gland, and 1of them encroached renal vein. There were cysts and scars in the center zone of all tumors, 5 of them were stellate-like and 2 were cruciform. There were sand-like calcification in center zone of 4 tumors, and there were varying degrees of internal haemorrhage in all tumors. Conclusion ACC has its characteristic CT characteristics. Combining imaging findings with pathological examination is helpful to correct diagnosis.
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