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磁共振成像上酷似恶性肿瘤的肾上腺良性病变:两例报告

Benign adrenal lesions mimicking malignancy on MR imaging: report of two cases.

作者信息

Baker M E, Spritzer C, Blinder R, Herfkens R J, Leight G S, Dunnick N R

出版信息

Radiology. 1987 Jun;163(3):669-71. doi: 10.1148/radiology.163.3.3575711.

DOI:10.1148/radiology.163.3.3575711
PMID:3575711
Abstract

Two cases of nonmalignant adrenal masses with prolonged T2 relaxation time and increased adrenal/liver signal ratios are reported. These two cases, one a functioning adenoma with small areas of hemorrhage and the other tuberculosis, emphasize that increased signal intensity in an adrenal mass on T2-weighted images is not always due to malignancy or a pheochromocytoma. While the signal characteristics of an adrenal mass are useful in distinguishing malignancy or pheochromocytoma from benign adenomas, other studies (such as computed tomography for the detection of hemorrhage), clinical evaluation, and percutaneous biopsy remain useful in the investigation of an adrenal mass.

摘要

报告了两例肾上腺非恶性肿块,其T2弛豫时间延长,肾上腺/肝脏信号比增加。这两例病例,一例是有小面积出血的功能性腺瘤,另一例是结核病,强调了肾上腺肿块在T2加权图像上信号强度增加并不总是由于恶性肿瘤或嗜铬细胞瘤。虽然肾上腺肿块的信号特征有助于将恶性肿瘤或嗜铬细胞瘤与良性腺瘤区分开来,但其他检查(如用于检测出血的计算机断层扫描)、临床评估和经皮活检在肾上腺肿块的检查中仍然有用。

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Benign adrenal lesions mimicking malignancy on MR imaging: report of two cases.磁共振成像上酷似恶性肿瘤的肾上腺良性病变:两例报告
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引用本文的文献

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Intravenous pyogenic granuloma of the right adrenal gland: report of a case.右肾上腺化脓性静脉肉芽肿:病例报告。
Surg Today. 2013 May;43(5):569-73. doi: 10.1007/s00595-012-0261-2. Epub 2012 Jul 20.
2
Pheochromocytoma: diagnosis and management update.嗜铬细胞瘤:诊断与治疗进展
Curr Hypertens Rep. 2004 Dec;6(6):477-84. doi: 10.1007/s11906-004-0044-2.
3
Pheochromocytoma.嗜铬细胞瘤
J Clin Hypertens (Greenwich). 2002 Jan-Feb;4(1):62-72. doi: 10.1111/j.1524-6175.2002.01452.x.
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Adrenal myelolipoma discovered incidentally on abdominal CT and MR imaging.
Gastroenterol Jpn. 1989 Apr;24(2):195-7. doi: 10.1007/BF02774196.
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Conservative and surgical management of incidentally discovered adrenal tumors (incidentalomas).偶然发现的肾上腺肿瘤(偶发瘤)的保守治疗与手术治疗
J Endocrinol Invest. 1992 May;15(5):331-7. doi: 10.1007/BF03348745.