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肾上腺皮质癌的CT表现 被引量:19

CT features of adrenocortical carcinoma
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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>4cm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。 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.
出处 《中国医学影像技术》 CSCD 北大核心 2012年第3期558-561,共4页 Chinese Journal of Medical Imaging Technology
关键词 肾上腺皮质癌 肾上腺肿瘤 体层摄影术 X线计算机 Adrenocortical carcinoma Adrenal gland neoplasms Tomography X-ray computed
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