嗜铬细胞瘤的影像学定位诊断评价  

Evaluation of imaging in localizing pheochromocytoma

作　　者：季仲友[1] 倪希和[2] 段青[1] 卢赠华[1] 王华[1] 

机构地区：[1]福建医科大学附属协和医院放射科,福建福州350001 [2]福建医科大学附属第一医院影像科,福建福州350005

出　　处：《中国临床医学影像杂志》2004年第9期513-516,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:评价影像学对嗜铬细胞瘤的定位诊断价值,以指导临床手术与治疗。方法:回顾分析影像学诊断的45例嗜铬细胞瘤影像学表现,并与手术病理对照。结果:左侧肾上腺单发17例,右侧肾上腺单发15例,双侧肾上腺单发2例,右侧肾上腺多发1例,异位10例。良性嗜铬细胞瘤39例,恶性嗜铬细胞瘤6例;USG、CT、MRI、131I-MIBGSPECT检查定位诊断敏感性分别为90%,96%,95%,100%。结论:应用综合影像技术对嗜铬细胞瘤的定位诊断具有重要的临床价值。Objective: To evaluate medical imaging for localizing pheochromocytoma and for directing operation and clinical treatment. Methods: Ultrasonography(USG), computed tomography(CT), magnetic resonance imaging(MRI), 131I-Metaiodobenzylguanidine(MIBG) SPECT were performed in 45 patients. All the patients subsequently underwent surgery. The lesions were histopathologically examined. Results: Seventeen tumors arose from left adrenals, 15 tumors arose from right adrenals, 2 tumors occurred bilaterally, 1 patient with multiple tumor localized in right adrenals, 10 tumors were found extraadrenally. Thirty-nine lesions were benign tumors, 6 lesions were malignant tumors. The diagnostic sensitivity of USG, CT, MRI, 131I-MIBG SPECT was 90%, 96%, 95%, 100% respectively. Conclusion: Comprehensive imaging technology scanning had highly sensitivity and specificity for localizing pheochromocytoma.

关 键 词：嗜铬细胞瘤 超声检查 体层摄影术 X线计算机 磁共振成像 体层摄影术 发射型计算机 单光子 

分 类 号：R736.6[医药卫生—肿瘤] R814.42[医药卫生—临床医学]