Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2014, Vol. 36 ›› Issue (4): 347-350.doi: 10.3881/j.issn.1000-503X.2014.04.001

• Original article •     Next Articles

Value of Enhanced Computed Tomography in the Diagnosis of Adrenal Hemangioma

MING Wei-di,LI Xiao-guang,XUE Hua-dan,LIANG Ji-xiang,JIN Zheng-yu   

  1. Department of Radiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
  • Received:2013-10-24 Online:2014-08-31 Published:2014-08-31
  • Contact: LI Xiao-guang Tel:010-69155444,
  • Supported by:
    Supported by the “Twelfth Five-Year” Scientific and Technological Research Project of Education Department of Jilin Province(2013,No.349),the Natural Sciences Foundation of Shandong Province(ZR2011HL005),the College Students’ Scientific Research Fund of Jilin Medical College(2011,No.08;2012,No.04),and the College Students’ Innovative and Entrepreneurial Training Program of Jilin Province(2013,No.850)

Abstract: Objective To summarize the computed tomography (CT) findings of adrenal hemangioma. Method The CT findings of 9 patients with pathologically proved adrenal hemangioma from June 2008 to March 2011 were retrospectively reviewed. Results All the tumors were located unilaterally,with 4 in the left and 5 in the right. The tumors were 1.5-8.4 cm in size with complete capsule and well-defined contour. Among these nine tumors,six were round or ovoid,while the other three had irregular shapes. Plain scan showed mixed density in 8 and cystic change in 1. After contrast enhancement,six tumors manifested with inhomogeneous enhancement and the other three without enhancement. For three cases who underwent multi-phase enhanced CT scans,irregular enhancement at the periphery of the masses were showed in artery phase,and centripetal filling with contrast medium to the center of masses were showed in the portal and delayed phases.Conclusions Hemangioma is a rare benign tumor of the adrenal gland. CT findings are diverse,and the preoperative misdiagnosing rate can be high. Multi-phase enhanced CT scan may show characteristic features of adrenal hemangioma and help achieve correct preoperative diagnosis.

Key words: adrenal gland, hemangioma, computed tomography

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