肺癌肾上腺转移彩超声像图分析  

Analysis of the ultrasonic image of adrenal metastasis in primary lung cancer

作　　者：白玲[1] 杨涛[1] 唐英[1] 毛京宁[1] 陈伟[1] 王勇[1] 张彦[1] 

机构地区：[1]军事医学科学院附属医院超声科,北京100071

出　　处：《军事医学科学院院刊》2009年第3期262-263,284,共3页Bulletin of the Academy of Military Medical Sciences

摘　　要：目的：探讨肺癌肾上腺转移的彩超声像图特征。方法：回顾性分析经粗针穿刺活检证实的14例肺癌肾上腺转移患者的临床及超声表现,包括肿瘤的位置、大小、形态、回声、边界、血流彩色多普勒显像（CDFI）表现等,并与穿刺病理结果比较。结果与结论：在14例患者中,肿瘤最大径3.0-15.3 cm。均为单侧肾上腺转移,腺癌转移9例,10例边界清晰、有包膜,10例形态不规则,13例为低回声,合并囊性变的仅1例,CDFI显示无血供或少血供的10例。肺癌肾上腺转移的声像图具有一定的特征性表现,超声易发现肾上腺肿瘤,可为临床诊断提供一定帮助。Objective：To investigate the ultrasonic image of adrenal metastasis in primary lung cancer. Methods：The ultrasonic imaging characteristics of fourteen patients with adrenal metastasis in primary lung cancer were retrospectively reviewed. In all the cases, US-guided percutaneous biopsy was performed for pathological evaluation during the clinical diagnosis. Results and Conclusion： In ultrasonography the adrenal metastatic tumors were manifested as solitary in all the eases, well-defined in 10 cases, irregularly shaped in 10 cases, hypoeehoic in 13 cases, and 1 case showed cystoid structure in the tumor. The maximum diameter of the tumor was 3.0 - 15.3 era. 9 cases were metastatic adenocarcinoma. The sonographic appearance of adrenal metastasis in primary lung cancer has its characteristics. Ultrasonography can find adrenal metastalic tumors easily and contribute to diagnosis.

关 键 词：超声检查 肺肿瘤 肾上腺肿瘤 

分 类 号：R734.2[医药卫生—肿瘤]