结直肠癌同期及术后肾上腺转移瘤的影像表现  

MSCT Findings of Synchronous and after Colorectal Resection Isolated Adrenal Metastasis from Colorectum Adenocarcinoma

作　　者：陈琼珠[1] 蓝日辉[1] 蒙秋华[1] 李娴[1] 叶丽芳[1] 沈一濂 CHEN Qiong-zhu;LAN Ri-hui;MENG Qiu-hua;LI Xian;YE Li-fang;SHEN Yi-lian(Department of Radiology,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,Guangdong Province,China)

机构地区：[1]广州医科大学附属第一医院放射科,广东广州510120

出　　处：《罕少疾病杂志》2021年第6期63-64,101,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨多层螺旋CT检测结直肠癌同期及术后肾上腺转移的价值。方法回顾性分析我院2012年5月至2019年12月有术后记录和随访的144例结直肠癌患者,随访螺旋CT发现肾上腺结节或肿块的情况。结果144例结直肠癌患者同期发生1个肾上腺转移瘤。术后1~3年腹部CT随访中,共发现肾上腺结节或增大27个,其中1例做了二次手术证实1个病灶为转移瘤,另1例术后病理诊断肾上腺瘤1个;4例发生其他部位转移;同期或术后追踪复查发现的肾上腺结节或增粗病例25例,经1~3年随访无变化,临床排除转移瘤。结论结直肠癌发生同期肾上腺转移是较为少见的,术后3年追踪发现转移的病例约为1.4%(2/144),临床工作中注意不能将肾上腺增粗或腺瘤误诊为转移瘤。Objective To discuss the indication of MSCT for Synchronous and after colorectal resection isolated adrenal metastasis from colorectum adenocarcinoma.Methods We performed a retrospective imaged study on 144 cases of colorectum adenocarcinoma in our hospital from May2012 to December 2019,which founded adrenal nodes follow-up by MSCT.Results 1 adrenal metastasis occurred in 144 patients with colorectal cancer at the same time.We founded 27 nodes by the follow-up of MSCT after colorectal resection for 1-3 years,one metastasis was confirmed by adrenalectomy,the other one was adenoma by pathology.4 patients had multiple metastases.25 cases of adrenal nodules or thickening were found during follow-up or postoperative follow-up.There was no change after 1 to 3 years of follow-up,and metastases were excluded clinically.Conclusion Synchronous adrenal metastasis of colorectum adenocarcinoma was rare,the incidence of adrenal metastases from colorectum adenocarcinoma about 1.4%(2/144),we should not in mistake for adenoma or hyperplasia to metastasis.

关 键 词：结直肠癌 肾上腺转移瘤 X射线计算机 

分 类 号：R735.3[医药卫生—肿瘤] R736.6[医药卫生—临床医学]