Image and pathology features of primary adrenal lymphoma
10.3760/cma.j.issn.1000-6702.2013.01.002
- VernacularTitle:原发性肾上腺淋巴瘤的CT与病理学检查特点研究
- Author:
Bin QIAN
;
Jingtao WU
;
Xiaohua HU
;
Gang HOU
;
Yin CHEN
- Publication Type:Journal Article
- Keywords:
Primary;
Adrenal lymphoma;
Tomography;
X-ray computed;
Pathology;
Diagnosis
- From:
Chinese Journal of Urology
2013;(1):10-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the CT features of primary adrenal lymphoma and its relationship with pathology.Methods Pathologically proven primary adrenal lymphoma 6 cases were reviewed.There were 4 males and 2 females.The age was 18-62 years,average age was 51 years.5 cases was single tomur in unilateral,1 case was bilateral disease.The main clinical manifestations were abdominal pain,abdominal discomfort.All patients had CT scan and were treated surgically.Results CT scan showed the characters of adrenal little low-density soft tissue mass:the maximum diameter of 3-11 cm,irregularly shaped or ovalshaped,multi-state a clear,homogeneous or slightly inhomogeneous density,CT value was 30-40 HU.Lesions could be embedded or close to blood vessels and the ipsilateral kidney.The lesions were not enhanced arterial phase enhancement,CT value was 39-50 HU.The lesions showed vein phase of mild to moderate enhancement,CT value was 47-66 HU.At the delay of continuing to strengthen phase,CT value was 60-78 HU.The pathology charaters showed that:Diffuse of tumor cells under light microscope dense,more uniform size,and a large,granular chromatin,tumor stromal components was relatively small.There was no significant bleeding,necrosis and calcification.one lesion showed sheet,tumor cell necrosis.Conclusions CT scan characteristics and pathological features of primary adrenal lymphoma might have a certain correlation.
