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 |
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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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