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肾窦内异位肾上腺腺瘤：一例报告

Ectopic Adrenal Adenoma in Renal Sinus: A Case Report.

作者信息

Baek John, Kim See Hyung, Cho Seung Hyun, Kim Won Hwa, Kim Hye Jung, Ryeom Hun Kyu, Yoon Ghilsuk

出版信息

J Korean Soc Radiol. 2022 Sep;83(5):1116-1120. doi: 10.3348/jksr.2021.0187. Epub 2022 May 23.

DOI:10.3348/jksr.2021.0187
PMID:36276201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9574275/
Abstract

The kidney is a rare site of ectopic adrenal adenoma. To the best of our knowledge, some cases of ectopic adrenal adenoma have been found in the kidney, but few of these cases explain the CT and MRI findings of the lesion. We reported a case of ectopic adrenal adenoma in the left renal sinus. A 47-year-old male patient underwent abdominal CT for routine health check-ups, which revealed a 1.2 cm enhancing mass in the left renal sinus. The MRI showed a signal drop of the mass in T1 weighted in- and opposed-phase, which indicates fat components. The mass was confirmed as an ectopic adrenal adenoma after surgery.

摘要

肾脏是异位肾上腺腺瘤的罕见部位。据我们所知，已有一些肾脏异位肾上腺腺瘤的病例被发现，但其中很少有病例能解释该病变的CT和MRI表现。我们报告了一例位于左肾窦的异位肾上腺腺瘤病例。一名47岁男性患者因常规健康检查接受腹部CT检查，结果显示左肾窦有一个1.2 cm的强化肿块。MRI显示该肿块在T1加权同相位和反相位成像中信号下降，提示存在脂肪成分。手术后，该肿块被确诊为异位肾上腺腺瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e89a/9574275/ed57ccf96b92/jksr-83-1116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e89a/9574275/ed57ccf96b92/jksr-83-1116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e89a/9574275/ed57ccf96b92/jksr-83-1116-g001.jpg

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In-Phase and Opposed-Phase Imaging: Applications of Chemical Shift and Magnetic Susceptibility in the Chest and Abdomen.同相位和反相位成像：化学位移和磁敏感性在胸部和腹部的应用。
Radiographics. 2019 Jan-Feb;39(1):115-135. doi: 10.1148/rg.2019180043. Epub 2018 Dec 14.
2
Intrarenal Adrenocortical Adenoma Treated by Robotic Partial Nephrectomy with Adrenalectomy.机器人辅助肾部分切除术联合肾上腺切除术治疗肾内肾上腺皮质腺瘤
J Endourol Case Rep. 2016 Feb 1;2(1):41-3. doi: 10.1089/cren.2016.0017. eCollection 2016.
3
Ectopic adrenocortical adenoma in the renal hilum: a case report and literature review.
肾门异位肾上腺皮质腺瘤：一例报告并文献复习
Diagn Pathol. 2016 Apr 19;11:40. doi: 10.1186/s13000-016-0490-6.
4
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BMC Urol. 2016 Jan 16;16:3. doi: 10.1186/s12894-016-0123-0.
5
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Int J Clin Exp Pathol. 2014 Jun 15;7(7):4415-21. eCollection 2014.
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