原发肾上腺交织状血管瘤1例
Chinese Journal of Clinical and Experimental Pathology（2020）
Abstract
患者男性,50岁,因体检发现右肾上腺肿块2周入院.B超示肝内钙化灶,胆囊多发息肉,见右侧肾上腺低回声结节.进一步查腹部增强CT示右侧肾上腺内侧支见一大小1.1 cm ×0.9 cm的结节状稍低密度影,边界清,密度较均匀,CT值约31 HU,增强后呈明显持续性强化、CT值约150 HU,内见小片状无强化区;左侧肾上腺大小、形态正常,内未见明显异常密度影及对比强化灶,周围间隙清(图1).CT诊断“嗜铬细胞瘤”.查体无阳性体征,既往有高血压病史1年,服用降压药血压控制尚可,10余年前有胃肠间质瘤手术史,术后恢复可.术前诊断:右侧肾上腺嗜铬细胞瘤?全麻下行后腹腔镜下右侧肾上腺切除术.
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