摘要
目的 :探讨肾上腺皮质小腺瘤的CT表现与临床症状和病理改变的关系。材料和方法 :回顾性分析 44例经手术病理证实的肾上腺皮质小腺瘤 (≤ 3 .0cm)CT表现并评价其与临床症状和病理改变的关系。结果 :44例中 ,原发性醛固酮增多症 2 9例 ,其中≤ 2 .0cm的 2 2例 ( 75 .9% ) ,皮质醇增多症 13例 ,其中 2 .1～ 3 .0cm的 11例 ( 11/13 ) ;原发性醛固酮增多症中表现为均匀脂质低密度 2 0例 ( 69.0 % ) ,皮质醇增多症中表现为不均匀密度和均匀软组织密度共 10例 ( 10 /13 )。病理发现CT为脂质密度的腺瘤含较多的透明细胞 ,而软组织密度的腺瘤含较多的颗粒细胞。结论 :肾上腺皮质小腺瘤的CT表现特征与其临床和病理改变有一定关系性。目的 :探讨肾上腺皮质小腺瘤的CT表现与临床症状和病理改变的关系。材料和方法 :回顾性分析 44例经手术病理证实的肾上腺皮质小腺瘤 (≤ 3 .0cm)CT表现并评价其与临床症状和病理改变的关系。结果 :44例中 ,原发性醛固酮增多症 2 9例 ,其中≤ 2 .0cm的 2 2例 ( 75 .9% ) ,皮质醇增多症 13例 ,其中 2 .1～ 3 .0cm的 11例 ( 11/13 ) ;原发性醛固酮增多症中表现为均匀脂质低密度 2 0例 ( 69.0 % ) ,皮质醇增多症中表现为不均匀密度和均匀软组织密度共 10例 ( 10 /13 )。病理发现CT为脂质?
Purpose: To investigate the correlation between CT features and clinical and pathological findings of small adrenocortical adenoma. Materials and Methods: CT findings of 44 cases of small adrenocortical adenomas (≤3cm)were retrospectively reviewed and compared with clinical, surgical and pathological data. Results: Of 44 patients, 29 cases were primary aldosteronism including 22 cases that the diameter was less than 2.0 cm (75.9%), 13 cases were Cushing syndrome including 11 cases that the diameter was 2.1～3.0cm (11/13). 20 cases (69%) showed homogeneous fatty density with primary aldosteronism, while 10 cases(10/13) showed homogeneous soft tissue density and inhomogeneous density with Cushing syndrome. The homogeneous fatty density on CT was commonly seen in water-clear cell, while soft tissue density was commonly seen in granular cell. Conclusion: Adrenocortical adenoma have some CT features, which had some correlations with clinical and pathological findings.
出处
《中国医学影像学杂志》
CSCD
2004年第4期259-261,共3页
Chinese Journal of Medical Imaging
