肾上腺皮质癌的超声诊断与病理结构对照研究  

A Comparative Study of Ultrasound Diagnosis of Adrenal Cortex Carcinoma and Its Pathologic Structure

作　　者：马红霞[1,2] 王洁[1,2] 李卫勇[1,2] 韩恩善[1,2] 张雪[1,2] 秦王 

机构地区：[1]宁夏医学院附属医院B超室 [2]宁夏医学院附属医院病理科

出　　处：《宁夏医学院学报》1999年第3期171-173,共3页Journal of Ningxia Medical College

摘　　要：目的：研究肾上腺皮质癌声像图特征及其与病理结构的相关性。方法：回顾性分析经二维及彩色多普勒超声诊断的并经手术、病理证实的１１例肾上腺皮质癌患者。结果：本组肾上腺皮质癌声像图特征：等回声组所占比例最大，占４５５％（５／１１）；强回声组占２７３％（３／１１）；低回声组占１８２％（２／１１）；混合回声占９１％（１／１１）。Ｂ超定位诊断符合率为９０９％（１０／１１）；定性诊断符合率为５４５％（６／１１）。结论：１肾上腺皮质癌的声像图特征为：①肿瘤以等回声为主的较大肿瘤多见，本组均大于５６ｃｍ；②肿瘤形态多样，以不规则形及分叶状多见；③彩色多普勒血流显示瘤内及瘤周血流丰富；④肿瘤内多见液化坏死。２与病理结构的相关性为肿瘤内回声的高低与肿瘤细胞的大小、排列情况。Objective: To study the feature of ultrasound imaging and the correlation with pathologic structure of adrenal cortex carcinoma.Methods: The retrospective study was done in 14 patients with adrenal cortex carcinoma diagnosed by two dimensional and color doppler sonography and confirmed by pathology.Results: The results of ultrasound analysis indicated that the group of equal echo was account for 43%(6/14),the group of high echo 29%(4/14), the group of low echo 14%(2/14),and the group of mixed echo 14%(2/14) and the rate of coincidence of qualification was 57%(8/14).Conclusion:1.The features of ultrasound imaging in adrenal cortex carcinoma were.1) The big tumor was mainly with equal echo, more than 7.6cm in diameter in present study; 2) The tumor was of varying shape, commonly with irregular and multi-lobe shape; 3) Detection of blood flow of color doppler sonography showed that the tumor and its surrounding region had a plenty of blood flow supply;and 4) the liquid necrosis inside the tumor was seen frequently. 2.The correlation study demonstrated that the different echo in tumor was correlated with size,arrangement of tumor cells and the contents of vascular and fibril tissues and necrosis.

关 键 词：肾上腺皮质癌 病理 肾上腺肿瘤 超声波诊断 

分 类 号：R736.6[医药卫生—肿瘤]