Chang Tu-Hao, Lee Yung-Chin, Liu Chia-Chu, Huang Chun-Hsiung, Wu Wen-Jeng
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2006 Nov;22(11):575-9. doi: 10.1016/S1607-551X(09)70355-9.
A left adrenal incidentaloma was found by abdominal ultrasound and computed tomography (CT) in a 53-year-old woman who had a history of non-insulin dependent diabetes mellitus. Abdominal CT showed a well-circumscribed adrenal mass (5.5 x 4.5 x 3.5 cm) with low density (32HU) on precontrast scan and heterogeneous enhancement on postcontrast scan. Laboratory examinations revealed a nonfunctional adrenal tumor. As the malignant potential of the tumor could not be ruled out, the patient underwent hand-assisted laparoscopic adrenalectomy. Postoperative recovery was uneventful, and pathologic examination revealed leiomyoma.
一名53岁有非胰岛素依赖型糖尿病病史的女性,通过腹部超声和计算机断层扫描(CT)发现左肾上腺偶发瘤。腹部CT显示一个边界清晰的肾上腺肿块(5.5×4.5×3.5厘米),增强扫描前密度较低(32HU),增强扫描后呈不均匀强化。实验室检查显示为无功能肾上腺肿瘤。由于不能排除肿瘤的恶性可能性,患者接受了手辅助腹腔镜肾上腺切除术。术后恢复顺利,病理检查显示为平滑肌瘤。