内分泌疾病的影像诊断肾上腺疾病的CT诊断

Computed Tomography of The Adrenal Disease

本文提出CT检查的注意事项,描述了正常肾上腺的CT解剖。讨论了功能性肾上腺肿瘤的病理和临床,并概括介绍肾上腺疾病的CT表现:肾上腺增生、良性瘤和恶性瘤。CT可以定位病变是双侧多发或异位。无功能性肾上腺疾病,可能是恶性、良性或非肿瘤性,如囊肿或结核。而且是多种癌的转移部位,尤其是肺癌。最后指出易误诊为肾上腺肿块的结构和病变。

Described CT appearance of normal adrenals. Discussed the pathologic and clinical manifestatioas of functioual adrenal tumors and summarized the CT appearance into glandular hypertrophy,beningn tumor and malignant tumor. The value of CT in this group of diseas is to loealize the lesion because they can be bilateral, multipie or ectopic. The nonfunctional adtenal mass may be due to malignant tumor beningn tumor or non tumot mass, like cyst or tuberculosis and they are the site of metastasis of many tumors, especialiy lung cancer. Finally organs and disease that may be mistaken for adrenal mass were stresed.