多发性内分泌肿瘤的影像学诊断及与手术病理对比研究

The Imaging Features of Multiple Endocrine Neoplasia

回顾分析１６例多发性内分泌肿瘤的影像学检查结果，并与手术病理对照，讨论Ｂ超、ＣＴ及其他影像学检查方法的临床应用价值。Ｂ超对本病甲状旁腺增生或腺瘤、肾上腺嗜铬细胞瘤、胰腺肿瘤、甲状腺髓样癌诊断符合率分别是８７．５、１００、５０和１００％。定期对多发性内分泌肿瘤患者及其家庭成员进行Ｂ超、ＣＴ检查可及早对新的内分泌肿瘤做出诊断，Ｂ超和ＣＴ为本病最佳影像学检查方法。

The article describes ultrasonographic(US)computed tomographic(CT)99mTc-MIBIand angiographic findings of l6 cases of multiple endocrine neoplasia(MEN)confirmed byoperations and pathological examinations. Hyperparathyroidism either was the first manifes-tation of MEN Ⅰ or was diagnosed simultaneously with other tumors. Medullary thyroid car-cinoma usually developed first or coincided with pheochromocytoma in MEN Ⅱ.Regular USand CT screening can lead to the detection of new endocrine neoplasia.The authors considerthat US and CT are the best imaging methods for MEN.