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Adrenal Pseudocyst with Atypical Imaging Appearance: Two Cases Report

腎上腺假性囊腫的非典型影像表現:病例報告

摘要


腎上腺假性囊腫是罕見的腎上腺疾病,而在歷史文獻曾經報導在影像診斷上有多種所謂典型以及非典型的表現,我們在此報告兩個發生在成人身上的個案,在這兩個個案均擁有報導過的所謂非典型影像表現,尤其第一個個案曾經在兩家醫學中心被診斷為肝臟惡性腫瘤而分別被施以腫瘤血管栓塞以及手術切除的治療,其在影像診斷學上的特殊表現值得讓我們深入探討。

並列摘要


Adrenal pseudocysts are rare adrenal lesions with reported typical and atypical imaging appearance. We report two adult cases and both of them have atypical appearance. Especially in our first case, the huge low attenuation mass has a non-enhanced irregular thick wall, calcified spots and multiple enhancing mural nodules, and occupies the space between liver and right kidney. Lipiodol embolization and surgical resection are performed in two medical centers respectively under the imaging diagnosis of hepatoma. The unusual presentations deserve our careful discussion.

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