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肾上腺囊肿——病例报告

Adrenal cyst--a case report.

作者信息

Huang S P, Chen C C, Li C C, Wu W J, Chou Y H, Huang C H

机构信息

Department of Urology, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan.

出版信息

Kaohsiung J Med Sci. 2001 Mar;17(3):156-60.

Abstract

Adrenal cysts are rare and mostly silent clinically. Herein we report a case of adrenal cyst. A 55-year-old female was incidentally found to have a left suprarenal cystic lesion with a calcified wall by abdominal sonography during a work-up for her epigastralgia and left flank pain. Then, computed tomography (CT) revealed a left adrenal cystic mass with wall calcification, magnetic resonance imaging (MRI) showed left retroperitoneal cystic mass with fluid content, and angiography demonstrated an avascular lesion. Surgical exploration was performed via a flank incision and a calcified cystic adrenal mass was excised. The pathologic diagnosis was adrenal pseudocyst with calcified wall. We discuss the diagnosis and management of adrenal cyst and briefly review the literature.

摘要

肾上腺囊肿罕见,临床上大多无症状。在此我们报告一例肾上腺囊肿病例。一名55岁女性在因上腹部疼痛和左侧胁腹疼痛进行检查时,经腹部超声偶然发现左肾上腺有一个壁钙化的囊性病变。随后,计算机断层扫描(CT)显示左肾上腺囊性肿块伴壁钙化,磁共振成像(MRI)显示左腹膜后囊性肿块含液体成分,血管造影显示为无血管病变。通过侧腹切口进行手术探查,切除了一个钙化的囊性肾上腺肿块。病理诊断为肾上腺假性囊肿伴壁钙化。我们讨论了肾上腺囊肿的诊断和处理,并简要回顾了文献。

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