CT对良恶性嗜铬细胞瘤的诊断价值

发布时间：2018-05-24 12:32

本文选题：良性嗜铬细胞瘤 + 恶性嗜铬细胞瘤　；参考：《临床医药文献电子杂志》2017年39期

【摘要】：目的观察和分析良性和恶性嗜铬细胞瘤在CT片中的影像表现以及相关的临床特征。最终总结CT在诊断良性和恶性嗜铬细胞瘤的作用。方法回顾86例嗜铬细胞瘤手术病症的CT临床表现以及其他相关特征,并在这个过程中运用统计学原理进行相关的分析。结果如在CT片的检查中发现肿瘤位置异位或者其最大的直径大于7cm的时候,那么基本可判定为恶性嗜铬细胞瘤。当肿瘤内部的物质出现钙化而边界不清时,那么其患有恶性嗜铬细胞瘤的可能性较大,其表现的差异具有统计学意义(P0.05)。患者的年龄、性别、高血压、高血糖和肿瘤内部有无出现坏死等诸多因素都可以作为判断良恶性嗜铬细胞瘤的重要依据。恶性嗜铬细胞瘤和良性嗜铬细胞瘤之间的差异有统计学意义。结论嗜铬细胞瘤的位置、大小、形状、边界和内部物质状况对判断嗜铬细胞瘤是否为良性还是恶性都有一定的价值。
[Abstract]:Objective to observe and analyze the CT findings and clinical features of benign and malignant pheochromocytoma. Finally, the role of CT in the diagnosis of benign and malignant pheochromocytoma was summarized. Methods the CT manifestations and other related features of 86 cases of pheochromocytoma were reviewed. Results the malignant pheochromocytoma can be classified as malignant pheochromocytoma if the location of the tumor is ectopic or the maximum diameter of the tumor is larger than 7cm. When calcification occurs in the interior of the tumor and the boundary is unclear, it is more likely to have malignant pheochromocytoma, and the difference is statistically significant (P 0.05). Age, sex, hypertension, hyperglycemia and necrosis within the tumor can be used as important criteria for judging benign and malignant pheochromocytoma. The difference between malignant pheochromocytoma and benign pheochromocytoma was statistically significant. Conclusion the location, size, shape, boundary and internal material of pheochromocytoma are valuable in judging whether pheochromocytoma is benign or malignant.
【作者单位】：赫章县人民医院;
【分类号】：R730.44;R736.6

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