Siegelbaum M H, Moulsdale J E, Murphy J B, McDonald G R
Department of Surgery, Saint Joseph Hospital, Towson, Maryland.
Urology. 1994 Jun;43(6):869-73. doi: 10.1016/0090-4295(94)90155-4.
We report on 2 cases of an adrenocortical carcinoma with vena caval involvement. Preoperative evaluation included a magnetic resonance imaging (MRI) scan confirming the presence of vena caval involvement. Extremely precise detail of the vena caval tumor thrombus was very helpful in preparing for the surgical extirpation. MRI detail far outweighed what was seen on the computed tomography scan and venacavogram. The MRI scan correlated exactly with what was found surgically. Although MRI scanning has been used to evaluate renal tumors with vena caval extension, few cases have been reported with similar adrenal tumors.
我们报告2例伴有腔静脉受累的肾上腺皮质癌。术前评估包括磁共振成像（MRI）扫描，证实存在腔静脉受累。腔静脉肿瘤血栓的极其精确的细节对准备手术切除非常有帮助。MRI的细节远远超过了计算机断层扫描和腔静脉造影所见。MRI扫描与手术中发现的情况完全相符。虽然MRI扫描已被用于评估伴有腔静脉延伸的肾肿瘤，但很少有类似肾上腺肿瘤的病例报道。
