Wild K, Braun B, Blank W, Bickel W
Medizinische Klinik, Universität Tübingen.
Rofo. 1990 Dec;153(6):688-91. doi: 10.1055/s-2008-1033465.
A markedly echogenic and sharply marginated suprarenal mass was found incidentally during an abdominal sonography in the case of three patients. One female patient died due to a mesenterial infarct, in the other cases the tumors were removed surgically. In two cases the histological diagnosis indicated a myelolipoma of the adrenal gland, in one case an angiolipoma attached directly to the adrenal. Myelolipoma is a benign and hormone-inactive tumorous lesion, which most commonly occurs in the adrenal gland. Knowledge of the clinical and sonomorphologic characteristics along with computed tomography helps to distinguish other tumors of the retroperitoneum. Thus, unnecessary surgical intervention can be avoided.
在3例患者的腹部超声检查中偶然发现了一个回声明显增强且边界清晰的肾上腺肿块。一名女性患者死于肠系膜梗死，其他病例中的肿瘤均通过手术切除。2例组织学诊断为肾上腺髓脂肪瘤，1例为直接附着于肾上腺的血管脂肪瘤。髓脂肪瘤是一种良性且无激素活性的肿瘤性病变，最常见于肾上腺。了解其临床和超声形态学特征以及计算机断层扫描有助于鉴别其他腹膜后肿瘤。因此，可以避免不必要的手术干预。
