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目的探讨原发性肾上腺淋巴瘤的CT表现。资料与方法回顾性分析4例确诊为原发性肾上腺淋巴瘤患者的CT影像学资料。结果 4例中双侧病灶3例,单侧病灶1例,共计7侧病灶;瘤体较大,长径5.6～7.8cm,平均6.3 cm;边界清晰6侧,边界不清1侧;肾上腺明显增粗伴局部肿块4侧,肾上腺轮廓消失、呈不规则形3侧;CT平扫密度均匀6侧,密度不均匀1侧;行双期增强扫描,均匀强化5侧,不均匀强化2侧,其中1侧病灶内见不规则无强化区。结论原发性肾上腺淋巴瘤的CT表现具有一定特征性,据此可提示诊断。
Objective To investigate the CT findings of primary adrenal lymphoma. Materials and Methods Retrospective analysis of 4 cases of patients diagnosed as primary adrenal lymphoma CT imaging data. Results Four cases had bilateral lesions in 3 cases and unilateral lesions in 1 case, with a total of 7 lesions. The tumors were large with a long axis of 5.6-7.8 cm with an average of 6.3 cm. The border was clear with 6 sides and the border was not clear with 1 side. Thickening with 4 cases of local mass, the adrenal gland disappeared, irregular shape 3 side; CT plain density of 6 sides, uneven density 1 side; double-phase enhanced scan, uniform enhanced 5, uneven enhancement 2, One side of the lesion see irregular enhancement zone. Conclusion The CT findings of primary adrenal lymphoma have some characteristics, which can prompt diagnosis.