巨大肾上腺髓样脂肪瘤一例
JOURNAL OF CLINICAL RADIOLOGY（2002）
Abstract
患者男,62岁.无诱因出现乏力,右上腹隐痛3月余,门诊B超示"右腹膜后占位"入院.体检无特殊.
CT检查: 右肾及肝右叶间见一18cm×15cm大小的混杂密度肿块,其中央为一环形钙化包绕之类圆形软组织影,CT值25HU左右,直径约11cm,并见一小结节样突起,其周围为甚低密度脂肪带,CT值为-106HU,并夹有少量条索影,肿块边界欠清,周围脏器受压移位,右肾上腺显示不清(图1),增强后仅见夹杂在脂肪内条索影有轻度强化(图2).CT诊断:腹膜后畸胎瘤可能,肾上腺髓样脂肪瘤待排.
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