多发性内分泌肿瘤的临床特点与影像学诊断  

Multiple Endocrine Neoplasm:Clinical Features and Imaging Technique Correlation

作　　者：朱庆莉[1] 姜玉新[1] 储开昀[2] 张缙熙[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院超声诊断科,北京市100730 [2]北京崇文光明医院超声室,100061

出　　处：《中国超声医学杂志》2002年第11期818-820,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :研究多发性内分泌肿瘤 (MEN)的临床特点及其影像学定位诊断。方法 :回顾性分析 2 0例多发性内分泌肿瘤临床和影像学检查结果。结果 :MEN患者受累腺体的病变为多发性和双侧性。甲状旁腺和甲状腺分别是 MEN 型和 MEN 型最常受累的内分泌腺体 ,超声和核素联合应用可列为甲状旁腺检查的首选方法。 CT结合超声或核素显像可发现全部肾上腺病变。结论 :多发性内分泌肿瘤临床表现复杂多样 ,但是受累腺体病理变化有一定的规律性 ,而且患者发病呈明显的家族性特点 ,认识到这些规律 ,可以早期发现并早期治疗。Objective:To describe the clinical features of multiple endocrine neoplasm (MEN) and their correlations with imaging techniques.Methods:Twenty cases were evaluated,and the medical histories and the results of imagings were analyzed.Results:Endocrinopathy in all three endocrine systems is characteristically multiple and bilateral Parathyroid and thyroid were the earliest endocrinopathies in the endocrine systems characteristically involved in the syndrome The combination of 99mTc MIBI scintigraphy and ultrasound appeared to be the best diagnostic tool for parathyroid gland The combination of CT and US or MIBG scintigraphy demonstrated the adrenal diseases properly.Conclusions:MEN was a complex disorder The endocrine involvement in the syndrome follows certain rules And the multiplicity of the members of the family is the key features of MEN.

关 键 词：多发性内分泌肿瘤 临床特点 影像学诊断 

分 类 号：R736[医药卫生—肿瘤] R730.4[医药卫生—临床医学]