Abstract：【Objective】To investigate the value of contrast-enhanced ultrasound (CEUS) in the diagnosis of adrenal mass-occupying lesions. 【Methods】A total of 27 patients with adrenal mass-occupying lesions who received both routine ultrasound and CEUS in our hospital were collected for the study.The ultrasound findings and angiographic features were observed and compared. 【Results】Among the 27 adrenal space-occupying lesions, 14 cases occurred on the left and 13 cases existed on the right. There were 11 cases of cortical adenoma, 1 case of hyperplasia, 4 cases of pheochromocytoma, 2 cases of myeloid lipoma, 6 cases of cysts, and 1 case of solitary fibroma, 1 case of cortical adenocarcinoma and 1 case of lymphoma. The difference of the size of adenoma and non-adenomas was statistically significant; the difference in size of benign and malignant lesions was statistically significant as well (P<0.05). According to time-intensity perfusion type and perfusion intensity characteristics, adrenal mass-occupying lesions were classified. Of the 11 adenomas, 9 cases belonged to type 2 and 2 cases belonged to type 3; in which 2 cases were rich in blood supply and 9 cases were poor in blood supply. Of the 16 non-adenomas, 2 cases were type 1, 5 cases of type 2, 3 cases of type 3 and 6 cases of type 4; in which 4 cases were rich in blood supply, 6 cases were lack of blood supply and 6 cases showed no blood supply. The difference between adenoma and non-adenomas was statistically significant (P<0.05). 【Conclusion】Contrast-enhanced ultrasound shows the blood supply of adrenal mass-occupying lesions that makes up for the deficiency of conventional ultrasound.
[1] Friedrichrust M,Glasemann T,Polta A,et al. Differentiation between benign and malignant adrenal mass using contrast-enhanced ultrasound[J].Ultraschall Med, 2011, 32(5):460-471. [2] Gerst S, Hann L E, Li D, et al. Evaluation of renal masses with contrast-enhanced ultrasound: initial experience[J].Am J Roentgenol,2011,197(4):897-906. [3] 徐长松, 陈静, 周闪, 等. 超声造影对肾占位病变的诊断效能分析[J].现代泌尿生殖肿瘤杂志, 2018, 10(10):264-268. [4] 伍瑛, 杜联芳, 李凡. 肾上腺占位性病变的超声造影分析[J].肿瘤影像学, 2006, 15(3):184-185. [5] Friedrichrust M , Schneider G , Bohle RM,et al. Contrast-enhanced sonography of adrenal masses: differentiation of adenomas and nonadenomatous lesions.[J].Am J Roentgenol,2008, 191(6):1852-1860. [6] 房立柱,董宝玮,梁萍.超声引导经皮微波消融在肾上腺肿瘤治疗中的应用价值[J].临床超声医学杂志,2015, 17(4):248-251. [7] Terzolo M, Ali A, Osella G, Mazza E. Prevalence of adrenal carcinoma among incidentally discovered adrenal masses. A retrospective study from 1989 to 1994.Gruppo Piemontese Incidentalomi Surrenalici[J].Arch Surg,1997,132(8):914-919. [8] Sworczak K, Babniska A, Stanek A,et al. Clinical and histopathological evaluation of the adrenal incidentaloma[J].Neoplasma,2001, 48(3): 221-223. [9] Joanna S onina, Nienartowicz E , Agrawal AK , et al. The usefulness of contrast-enhanced sonography in the differential diagnostic of adrenal tumors[J].Endokrynol Pol,2006, 57(3):230-236. [10] 伍瑛, 杜联芳, 李凡, 等. 超声造影在肾上腺肿瘤的应用价值[J].临床超声医学杂志, 2008, 10(1):16-18. [11] 臧国礼, 黄品同, 乔洪波, 等. 超声造影增强模式在肾上腺肿瘤鉴别诊断中的临床价值[J].中华超声影像学杂志, 2012, 21(9):794-798. [12] 梁彤,任杰,梁峭嵘.常规超声及超声造影诊断肾上腺外伤的应用价值[J].中国超声医学杂志,2011,27(11):1045-1047. [13] 李艳萍,张正贤,彭成忠.肾上腺髓样脂肪瘤的超声诊断分析[J].中国中西医结合外科杂志,2013(6):682-683. [14] 伍瑛, 杜联芳, 李凡,等. 肾上腺嗜铬细胞瘤的超声造影特征[J].临床超声医学杂志, 2011, 30(8):527-529.
2019, Vol. 36 
