CT diagnosis of benign and malignant adrenal.docVIP

 PAGE \* MERGEFORMAT 11 CT diagnosis of benign and malignant adrenal Keywords: benign and malignant adrenal Parts of the deep suffering from adrenal tumor tissue sources in their more complex form of overlap between benign and malignant tumors are more. Therefore, to make qualitative diagnosis of difficulties. By analysis and comparison of two hospitals from July 1997 to 2007, seven menstrual surgery and pathological examination confirmed that there is a complete image data of 43 cases of adrenal tumors in patients with a view to improving the diagnosis of adrenal tumors and benign and malignant identification accuracy. A clinical data 1.1 General Information The male patients in this group 34 cases and 9 females; aged 19 to 68 years old, with an average of 41 years. 23 cases of lesions located in the right, left 18 cases, bilateral in 2 cases. 1.2 Methods Application of SOMATOM HUANYUE DUO, PICK 6000 and SIEMENS Definition CT machine, slice 1 ~ 5mm, the reconstruction slice thickness 2 ~ 5mm, all cases were so enhanced scanning. Check after 3 ~ 27d, 42 cases were treated with surgical lesions, including 35 cases of complete resection, 7 cases of tumor invasion surrounding tissue has not been fully removed. 1 cases of lung cancer associated with systemic multiple metastases of bilateral adrenal metastases, to give up surgery. 2 Results 43 cases in 42 cases of surgical pathology examination confirmed 29 cases of benign and malignant in 13 cases. In which cortical adenoma, 13 cases of benign pheochromocytoma, 7 cases of malignant pheochromocytoma in 6 cases, metastatic tumors, bone marrow of all five cases of lipoma, cortical adenocarcinoma in 2 cases, hamartoma tumor, paraganglioma, lipoma , ganglion cell nerve tumor in 1 case. Preoperative CT lesion detection rate of 100%, positioning diagnostic accuracy rate was 97%, benign and malignant qualitative diagnostic accuracy rate of 71%. 3 Dis