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后肾腺瘤1例

Journal of Medical Imaging(2013)

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Abstract
后肾腺瘤(metanephric adenoma,MA)是一种非常罕见的良性肾脏上皮肿瘤,现将我院1例后肾腺瘤进行报道. 患者女性,72岁.无任何症状,因体检超声发现左肾上极低回声病灶,其内血供欠佳,大小1cm×1cm,边界清楚.入院后血常规、尿常规、肝肾功能检查未见异常.行CT增强扫描发现,病灶位于左侧肾脏上极,病灶平扫为稍高密度,CT值41HU,增强后皮质期CT值51HU,实质期87HU,肾盂期81HU,增强前后各期病灶相对于正常肾实质呈现低密度.病灶主体位于肾实质内,边界清楚(图1A~1D).术前影像学诊断为乳头状肾癌.
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