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目的:探讨酷似肝癌的肾及肾上腺肿瘤的CT表现,减少误诊的发生。方法:2005-03/2009-03对手术病理证实的26例酷似肝癌的肾及肾上腺肿瘤进行回顾性分析。结果:26例中,肾实质癌10例,嗜铬细胞瘤7例,肾血管平滑肌脂肪瘤5例,肾上腺皮质腺癌2例,肾母细胞瘤2例,共发现病灶28个,除1例嗜铬细胞瘤病灶3个,分布在两侧外,其余均在右侧。结论:酷似肝癌的肾及肾上腺肿瘤有自己的解剖病理基础,结合临床,CT增强,三维重建多能作出正确诊断。
Objective: To investigate the CT findings of renal and adrenal tumors resembling liver cancer and to reduce the occurrence of misdiagnosis. Methods: A retrospective analysis of 26 cases of renal and adrenal tumors resembling liver cancer confirmed by surgery and pathology was performed from March 2005 to March 2009. Results: In 26 cases, 10 cases of parenchymal neoplasm, 7 cases of pheochromocytoma, 5 cases of renal angiomyolipoma, 2 cases of adrenocortical adenocarcinoma, 2 cases of nephroblastoma, 28 cases were found, except 1 case Pheochromocytoma lesions 3, located on both sides, the rest are on the right. Conclusion: The renal and adrenal tumors resembling HCC have their own anatomical and pathological basis. Combined with clinical diagnosis, CT enhancement and three-dimensional reconstruction can make the correct diagnosis.