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目的探讨B超和/或CT对肾上腺“意外瘤”的定位诊断价值以及临床处理措施。方法对13例因非肾上腺疾病就诊的患者进行B超和/或CT检查。结果13例“意外瘤”均经手术和病理证实,其中肾上腺皮质腺瘤4例,皮质腺癌3例,嗜铬细胞瘤2例,纤维瘤1例,肾上腺囊肿1例,肾上腺恶性黑色素瘤1例。结论B超和/或CT对肾上腺“意外瘤”具有较高的定位诊断价值,临床上应根据肿瘤的性质或大小决定处理方式,如肿瘤为恶性、体积较大或不是真正无功能者要施行手术治疗。
Objective To investigate the diagnostic value of B-mode ultrasound and/or CT in adrenal “accidental tumors” and clinical treatment measures. Methods B ultrasound and/or CT scans were performed on 13 patients who were diagnosed with nonadrenal diseases. Results 13 cases of “accidental tumors” were confirmed by surgery and pathology, including 4 cases of adrenocortical adenoma, 3 cases of cortical adenocarcinoma, 2 cases of pheochromocytoma, 1 case of fibroid, 1 case of adrenal cyst, adrenal malignant melanoma 1 example. Conclusion B-ultrasonography and/or CT have a higher diagnostic value for the adrenal “accidental tumor”. Clinically, the treatment should be determined according to the nature or size of the tumor. For example, if the tumor is malignant, large or not truly functional, it must be performed. Surgical treatment.