支气管源性癌患者肾上腺的计算机断层扫描评估

Computed tomographic evaluation of adrenal glands in patients with bronchogenic carcinoma.

作者信息

Kaneko K, Hirata H, Nishitani H, Onitsuka H, Ono M, Matsuura K

出版信息

Radiat Med. 1984 Oct-Dec;2(4):231-3.

Abstract

One hundred thirty-four patients with histo-pathologically proven bronchogenic carcinoma underwent computed tomography (CT) of the thorax and adrenal glands. Prospectively, 23 of the 134 patients had adrenal metastasis, based on CT criteria for enlargement of the gland. Retrospectively, however, some proved to be false positives. In addition, the diagnosis of adrenal metastasis frequently altered the initial staging and the treatment modality. We suggest that valid diagnoses of adrenal metastases on CT scan be made on the basis of altered shape as well as on altered size of the gland.

摘要

134例经组织病理学证实为支气管源性癌的患者接受了胸部和肾上腺的计算机断层扫描（CT）检查。根据CT上肾上腺增大的标准，前瞻性研究发现134例患者中有23例存在肾上腺转移。然而，回顾性研究发现，其中一些被证明是假阳性。此外，肾上腺转移的诊断常常改变初始分期和治疗方式。我们建议，基于肾上腺形态和大小的改变在CT扫描上做出肾上腺转移的有效诊断。