摘要
目的探讨多层螺旋CT对儿童肾上腺神经母细胞瘤的诊断价值。方法分析2004年10月～2008年10月经手术病理证实的8例儿童肾上腺神经母细胞瘤的CT表现,如形态,密度及周围结构变化情况,结合临床资料,进行综合评价。结果儿童肾上腺神经母细胞瘤为肾外体积较大肿块,其中不规则肿块6例,规则2例,钙化7例,囊变坏死1例,出血2例,越过中线5例,包绕腹膜后大血管4例,腹膜后淋巴结肿大7例,肾脏向后外侧移位6例。注射造影剂后肿块呈不均匀强化。结论根据CT典型特点,并结合临床症状,对儿童肾上腺神经母细胞瘤的诊断率可达95%以上。
Objective To evaluate the value of multiple spiral CT diagnosis of adrenal neuroblastoma in children. Methods All eight patients with adrenal neuroblastoma confirmed by surgery and pathology were underwent spiral CT plain and enhanced scanning before operation .The CTfeatures such as the changes of the shepe, density and surrounding strultwre in tumor were reviwed and analyzed retrospectively. Results The main CTimages of adrenal neuroblastoma in children were bigger exwarenal tumor ,included ：huge and irregular mass（6 cases ）,regular mass （2 cases）,calcification （87cases）,cystic degeneration or necrosis （1 cases）,bleeding（2cases）,crossing of the midline （5cases）,wrapping retroperitoneal major vessels （4cases）,retroperitoneat enlargement of lymphnode （7 cases）,The masses were heterogeneous enhancement.The kidneys were moved backward and lateral（6 cases）. Conclusion According to typical CTfeatures,combined with clinical characteristics, the diagnostic aUwraly of adrenal neuroblastoma in children was over 95%.
出处
《中国CT和MRI杂志》
2010年第1期64-65,共2页
Chinese Journal of CT and MRI
