Päivänsalo M, Merikanto J, Kallioinen M, McAnsh G
Department of Diagnostic Radiology, University of Oulu, Finland.
Eur J Radiol. 1988 Aug;8(3):183-7.
An analysis was made of the ultrasound (US) findings in 110 patients with proven or ultrasonographically suspected adrenal tumours. A total of 212 glands were imaged, 117 of which contained a tumour. The diagnosis was confirmed histologically in 50 cases and by imaging and follow-up in 162 cases. Normal glands were visualized ultrasonically in 27 out of 40 glands on the right and 5 out of 55 on the left. US detected 55 out of 59 primary adrenal tumours and 49 out of 58 secondary tumours, showing a sensitivity of 89%. In 13 tumours ultrasonography gave a false negative result, and in 13 cases a false positive one. Benign or primary malignant tumours and metastases could not be differentiated on the basis of echo-structure, but a large heterogeneous tumour in a patient with no known extra-adrenal malignancy is probably a primary malignant adrenal tumour.
对110例经证实或超声怀疑患有肾上腺肿瘤的患者的超声（US）检查结果进行了分析。总共对212个腺体进行了成像，其中117个含有肿瘤。50例通过组织学确诊，162例通过影像学检查和随访确诊。右侧40个腺体中有27个在超声下显示正常，左侧55个中有5个显示正常。超声检测出59个原发性肾上腺肿瘤中的55个以及58个继发性肿瘤中的49个，敏感性为89%。13个肿瘤超声检查结果为假阴性，13例为假阳性。根据回声结构无法区分良性或原发性恶性肿瘤及转移瘤，但在无已知肾上腺外恶性肿瘤的患者中，大的异质性肿瘤可能是原发性恶性肾上腺肿瘤。
