中国临床医学影像杂志  2019, Vol. 30 Issue (5): 328-332    DOI: DOI:10.12117/jccmi.2019.05.006
  腹部影像学 本期目录 | 过刊浏览 | 高级检索 |
后肾腺瘤影像及病理对照分析
张晓辉,陈雪琴,陈  萍,尹克杰,仝  贺,陈自谦
厦门大学附属东方医院(联勤保障部队第九○○医院)医学影像中心,福建 福州  350025
Imaging and pathology analysis of metanephric adenoma
ZHANG Xiao-hui, CHEN Xue-qin, CHEN Ping, YIN Ke-jie, TONG He, CHEN Zi-qian
Department of Imaging, Fuzhou General Hospital, Dongfang Hospital Affiliated to Xiamen University, Fuzhou 350025, China
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摘要 目的:探讨后肾腺瘤(MA)的CT/MRI影像学特征。方法:回顾性分析了经术后特殊病理证实的11例MA患者影像资料,归纳肿瘤的大小、形态、密度或信号强度及强化方式。结果:11例MA,男3例,女8例,均为单侧单发,其中6例位于右肾,5例位于左肾。11例病灶均呈圆形或类圆形,其中8例病灶为实性,3例为囊实性(1例以囊性为主)。CT平扫病灶实性成分呈等或稍高密度,增强扫描病灶边界清晰,实性成分呈延迟性轻中度强化,强化程度低于正常肾皮质。MRI平扫1例信号强度与肾实质相似;另外1例病灶信号欠均匀,呈稍长T1,稍长T2,两例DWI均为高信号。结论:MA的影像学表现具有一定的特征性,CT及MRI对其诊断及鉴别诊断有重要意义。
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张晓辉
陈雪琴
陈 萍
尹克杰
仝 贺
陈自谦
关键词 肾肿瘤腺瘤体层摄影术螺旋计算机磁共振成像    
Abstract:Objective: To discuss the CT and MR imaging features of metanephric adenoma(MA). Methods: The imaging data of 11 cases of MA confirmed by postoperative special pathology were retrospectively analyzed. Assessed image features including size, shape, density or signal intensity and enhancement style. Results: There were 11 cases of MA, the male to female ratio of cases was 3∶8. All were single masses, including 6 cases in the right kidney and 5 cases in the left kidney. The shape of MA was round. 8 cases were solid and 3 case was cystic solid masses(while 1 case of them presented as mainly cystic mass). On plain CT scanning, the solid component of the masses showed equal or slightly high density. After contrast, the mass was well-defined and the solid part of the mass showed mild to moderate delayed enhancement. MRI examination was performed in 2 cases. The signal intensity in 1 case was similar to the renal parenchyma, while the other one had heterogenous signal intensity with slight long T1 and slight long T2 signal. 2 cases showed the hyperintensity on DWI. Conclusion: Imaging manifestations of MA showed certain characteristic. CT and MRI were valuable in the diagnosis and differential diagnosis.
Key wordsKidney neoplasms    Adenoma    Tomography, spiral computed    Magnetic resonance imaging
收稿日期: 2018-05-07     
PACS:  R737.11  
  R730.261  
  R814.42  
  R445.2  
基金资助:国家重点研发子课题“相关临床应用软件质量控制检测规范与评价标准编制”2016YFC0103103。
通讯作者: 陈自谦,联勤保障部队第九○○医院(原南京军区福州总医院)医学影像中心,350025。E-mail:chenziqianfz@sina.com   
作者简介: 张晓辉(1992-),男,山东菏泽人,在读硕士研究生。E-mail:857985807@qq.com
引用本文:   
张晓辉,陈雪琴,陈 萍,尹克杰,仝 贺,陈自谦. 后肾腺瘤影像及病理对照分析[J]. 中国临床医学影像杂志, 2019, 30(5): 328-332.
ZHANG Xiao-hui, CHEN Xue-qin, CHEN Ping, YIN Ke-jie, TONG He, CHEN Zi-qian. Imaging and pathology analysis of metanephric adenoma. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(5): 328-332.
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