Title: Application of the multi-slice spiral CT in diagnosis and treatment of adrenal ganglioneuroma
Abstract: Objective To analyze the diagnosis and clinical features of multi-slice spiral CT in adrenal ganglioneuroma. Methods Sixty cases of patients with nonfunctional adrenal tumor admitted to Department of Radiology,Fenghua Hospital of Traditional Chinese Medicine in Ningbo City from January 2009 to May 2013 were analyzed retrospectively.There were 18 cases with adrenal ganglioneuroma,24 cases with adrenal non-functional adenomas,8 cases with metastatic tumors,and 10 cases with nonfunctional complextumor,a total of 64 focuses. 64 layers spiral CT scanner of Lightspeed VCT to line scan and dynamic enhanced scan of 30 s,70 s,3 min were used on the focus,and the imaging findings were compared. Results 1 The morphology of adrenal ganglioneuromamostly characterized by ovoid,fuzzy boundaries,uniform density,obviously peach tip levy,more predominantly on the right side of the lesion site,and had calcification; 2at the same average CT scan or same point scan,the adrenal ganglioneuroma compared with the other types of pathological changes were significantly different(P 0.05),the plain scan showed that the density of adrenal ganglioneuroma was higher than non-functional adenoma,and lower than nonfunctional complextumor and metastatic tumors,but at various points of enhanced scan its density showed a significantly lower than other pathological types,the differences were statistically significant(P 0.05). Conclusion Clinical adrenal ganglioneuroma compared with other various kinds of nonfunctioning adrenal tumors,the performance of multi-slice spiral CT in its pathological changes shape,boundary definition,calcification within the tumor,pathogenic site and the average value of plain scan and enhanced scan at various points all have obvious differences,and according the characteristics can take clinical differential diagnosis,and provide imaging basis for its surgical treatment.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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