A Study of Correlation of Ultrasound with Pathology in Adrenal Cortex Carcinoma

Objective:To study the feature of ultrasound imaging and the correlation with pathologic structure in adrenal cortex carcinoma.Method:The retrospective study was done in 14 patients with adrenal cortex carcinoma diagnosed by two dimensional and color doppler sonography and confirmed by pathology.Results:The results after study of ultrasound analysis and pathology indicated that the group of equal echo was account for 43%(6/14),the group of high echo 29%(4/14),the group of low echo 14%(2/14),and the group of mixed echo 14%(2/14).The rate of coincidence of location diagnosis was 93%(13/14),and the rate of coincidence of qualification was 57%(8/14).Conclusion:①The feature of ultrasound imaging in adrenal cortex carcinoma was:that the tumor was big one mainly with equal echo,more than 7.6cm in diameter in present study;that the tumor had a varying shape,commonly with irregular and multi lobe shape;that detection of blood flow of color dopper sonography showed that the tumor and the surrounding region of the tumor had a plenty of blood flow supply;that the liquid necrosis inside the tumor was seen frequently.②The correlation study demonstrated that the different echo in tumor was correlated with size and arrangement of tumor cells,the contents of pathologic structure of vascular and fibril tissues and necrosis.