儿童肾上腺病变的非典型影像学特征——附三例报告并文献复习
Atypical imaging features of adrenal gland lesions in children - report of three cases and review of literature.
作者信息
Czerwińska Katarzyna, Roik Danuta, Sopyło Barbara, Sobocińska-Mirska Agata, Warchoł Stanisław, Brzewski Michał
机构信息
Department of Pediatric Radiology, Medical University of Warsaw, Warsaw, Poland.
出版信息
Pol J Radiol. 2012 Apr;77(2):73-9. doi: 10.12659/pjr.882975.
Abstract
BACKGROUND
The differential diagnosis of adrenal pathology depends on the child's age and imaging findings.
CASE REPORT
Three children without clinical symptoms of neoplasm, with an adrenal lesion discovered on diagnostic ultrasound imaging. Laboratory tests for neoplasm were negative. The final diagnosis was based on histopathological examinations after surgical resection.
CONCLUSIONS
- The value of diagnostic imaging and laboratory tests in differential diagnosis of adrenal gland lesions is limited. 2. Malignant tumors of adrenal glands should be taken into account in children. 3. Surgical resection should be considered in diagnostic algorithm of adrenal gland masses. 4. The final diagnosis is always based on histopathological examination.
摘要
背景
肾上腺病变的鉴别诊断取决于患儿的年龄和影像学表现。
病例报告
三名患儿无肿瘤临床症状，诊断性超声检查发现肾上腺有病变。肿瘤实验室检查结果为阴性。最终诊断基于手术切除后的组织病理学检查。
结论
- 诊断性影像学检查和实验室检查在肾上腺病变鉴别诊断中的价值有限。2. 儿童肾上腺应考虑到恶性肿瘤。3. 在肾上腺肿块的诊断流程中应考虑手术切除。4. 最终诊断始终基于组织病理学检查。
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