Wat N M, Tse K K, Chan F L, Lam K S
Department of Medicine, Queen Mary Hospital, Hong Kong.
Br J Haematol. 1998 Mar;100(4):725-7. doi: 10.1046/j.1365-2141.1998.00619.x.
Bilateral adrenal masses were discovered incidentally in a patient with beta-thalassaemia intermedia. Endocrine investigations showed that the adrenal lesion was hormonally inactive. Extramedullary haemopoiesis involving the adrenal glands was suggested by the presence of reticuloendothelial tissue as demonstrated by bone marrow scintigraphy using Technetium Tc-99m nanocolloid. This report illustrates the use of non-invasive functional imaging techniques in the management of adrenal 'incidentalomas', which in this case turned out to be a rare presentation of extramedullary haemopoiesis.
在一名中间型β地中海贫血患者中偶然发现双侧肾上腺肿块。内分泌检查显示肾上腺病变无激素活性。使用锝Tc-99m纳米胶体进行骨髓闪烁显像显示存在网状内皮组织，提示肾上腺存在髓外造血。本报告说明了无创功能成像技术在肾上腺“偶发瘤”管理中的应用，在本例中，肾上腺“偶发瘤”结果是髓外造血的一种罕见表现。
