肾上腺恶性肿瘤的超声显像定位与定性诊断价值

Diagnostic value of localization and nature by ultrasonography in adrenal gland malignant tumors

目的 探讨肾上腺恶性肿瘤超声显像定位与定性诊断的临床应用价值。方法 应用超声显像对 2 7例肾上腺恶性肿瘤进行检查 ,最后经手术与病理等确诊为库欣皮质腺癌 6例 ,性征异常症皮质腺癌 9例 ,肾上腺转移瘤 12例。结果 2 7例不同病理性质肾上腺恶性肿瘤的声像图表现有一定区别。超声显像定位诊断正确 2 6例 ,符合率 96.3 % ;定性诊断正确 2 5例 ,符合率 92 .6%。结论 肾上腺恶性肿瘤的声像图表现具有一定的特征 。

Objective To evaluate the diagnostic value of localization and nature by ultrasonography in adrenal gland malignant tumors. Methods Adrenal gland malignant tumors were diagnosed by ultrasonography in 27 patients. Among them, 6 Cushing syndrome adenomas, 9 adrenogenital syndrome adrenocortical adenocarcinomas, 12 metastases were confirmed by surgery and pathology. Results There were differences in ultrasonographic appearances of 27 patients in adrenal gland malignant tumors with different pathology. Correctly diagnose was made in 26 patients for the localization by ultrasonography, and the accuracy was 96.3 %, while 25 patients were correctly diagnosed in nature and the accuracy was 92.6 %. Conclusions Ultrasonographic appearances of adrenal gland malignant tumors have some features, and ultrasonography is of great value in the localizing and qualitative diagnosing.