CAJ | 학술논문

目的：分析肾上腺少见肿瘤的CT、MRI表现特点，提高其CT、MRI诊断准确性。方法回顾性分析27例经手术病理证实为肾上腺少见肿瘤患者的临床、CT和MRI资料，总结肾上腺少见肿瘤的CT、MRI表现特点。结果本组27例，肾上腺髓质脂肪瘤10例，内皮性囊肿5例，囊性淋巴管瘤、脂肪瘤、节细胞神经瘤、皮质腺癌各2例，畸胎瘤、神经纤维瘤、神经母细胞瘤、淋巴瘤各1例。肾上腺少见肿瘤的大小、形态、密度或信号、强化程度和方式等各不相同。结论肾上腺少见肿瘤的CT、MRI表现具有一定的特点，认识其特征性表现，有助于提高CT、MRI诊断的准确性。
목적：분석신상선소견종류적CT、MRI표현특점，제고기CT、MRI진단준학성。방법회고성분석27례경수술병리증실위신상선소견종류환자적림상、CT화MRI자료，총결신상선소견종류적CT、MRI표현특점。결과본조27례，신상선수질지방류10례，내피성낭종5례，낭성림파관류、지방류、절세포신경류、피질선암각2례，기태류、신경섬유류、신경모세포류、림파류각1례。신상선소견종류적대소、형태、밀도혹신호、강화정도화방식등각불상동。결론신상선소견종류적CT、MRI표현구유일정적특점，인식기특정성표현，유조우제고CT、MRI진단적준학성。
Objective To evaluate the CT and MRI features of rare adrenal neoplasms and to improve the diagnostic ability performance. Methods Clinical, CT and MRI materials were retrospectively reviewed in 27 patients with rare adrenal neoplasms proved by surgical pathology. CT scan was performed in 22 cases, and CT enhancement scan was performed in 17 cases; MRI plain and enhancement scan was completed in 3 cases;CT and MRI scans were performed in 2 cases. Results There were myelolipoma in 10 cases, endothelial cysts in 5 cases. Cystic adrenal lymphangioma, lipoma, ganglioneuroma, and adenocarcinoma had 2 cases for each; Teratoma, neurofibroma, neuroblastoma, and lymphoma had 1 case for each. The CT and MRI characteristics (such as size, shape, density or signal, and enhancement feature) of rare adrenal neoplasms can discriminate rare adrenal neoplasms. Conclusion CT and MRI findings of rare adrenal neoplasms showed certain characteristics, which were contributed to the diagnosis and differential diagnosis.