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肾细胞癌酷似肾上腺肿瘤。

Renal cell carcinoma mimicking adrenal tumor.

机构信息

Department of Urology, Kamkar Hospital, School of Medicine, Qom Medical Sciences University, 3715694978 Qom, Iran.

出版信息

J Oncol. 2010;2010. doi: 10.1155/2010/987128. Epub 2010 Aug 23.

DOI:10.1155/2010/987128
PMID:20847950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2934774/
Abstract

There are a variety of causes of adrenal pseudotumors on computerized tomography (CT) scan, including upper-pole renal mass, gastric diverticulum, prominent splenic lobulation, pancreatic mass, hepatic mass, and periadrenal varices. We present a case of a large subhepatic mass that discrimination of its origin from neighborhood organs was difficult preoperatively. Our patient was a 58 years old man, that three months after an unsuccessful operation in another center for a pseudoadrenal mass underwent a very difficult subcapsular tumorectomy in our center.

摘要

计算机断层扫描(CT)上肾上腺假性肿瘤的病因多种多样,包括肾上极肿块、胃憩室、脾脏叶状突出、胰腺肿块、肝脏肿块和肾上腺周围静脉曲张。我们报告了 1 例术前难以鉴别其来源的大肝下肿块病例。患者为 58 岁男性,3 个月前在另一家中心因假性肾上腺肿块手术失败,后在我院行非常困难的包膜下肿瘤切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c444/2934774/84c2ae05caed/JO2010-987128.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c444/2934774/b76e7fa988de/JO2010-987128.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c444/2934774/84c2ae05caed/JO2010-987128.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c444/2934774/b76e7fa988de/JO2010-987128.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c444/2934774/84c2ae05caed/JO2010-987128.002.jpg

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本文引用的文献

1
Intra-renal adrenal adenoma: a compelling addition to the differential diagnosis of renal mass.肾内肾上腺腺瘤:对肾脏肿块鉴别诊断的有力补充。
Int J Urol. 2009 Nov;16(11):912-4. doi: 10.1111/j.1442-2042.2009.02372.x.
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Commonly encountered adrenal pseudotumours on CT.CT上常见的肾上腺假性肿瘤。
Br J Radiol. 2005 Feb;78(926):170-4. doi: 10.1259/bjr/18362306.
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18F-FDG PET in evaluation of adrenal lesions in patients with lung cancer.18F-氟代脱氧葡萄糖正电子发射断层扫描在肺癌患者肾上腺病变评估中的应用
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CT findings in congenital anomalies of the spleen.脾脏先天性异常的CT表现。
Br J Radiol. 2001 Aug;74(884):767-72. doi: 10.1259/bjr.74.884.740767.
7
The diagnostic role of radionuclide imaging in evaluation of patients with nonhypersecreting adrenal masses.放射性核素成像在非分泌性肾上腺肿块患者评估中的诊断作用。
J Nucl Med. 2001 Jun;42(6):884-92.
8
Subclinical hormone secretion by incidentally discovered adrenal masses.偶然发现的肾上腺肿块的亚临床激素分泌。
Arch Surg. 1994 Mar;129(3):291-6. doi: 10.1001/archsurg.1994.01420270067016.
9
Gastric diverticulum simulating an adrenal mass: CT appearance and embryogenesis.模拟肾上腺肿块的胃憩室:CT表现及胚胎发生
AJR Am J Roentgenol. 1986 Mar;146(3):553-4. doi: 10.2214/ajr.146.3.553.
10
Intraoperative pathologic consultation. An audit of 1,000 recent consecutive cases.术中病理会诊。对近期连续1000例病例的审核。
Am J Surg Pathol. 1989 Mar;13(3):237-43.