Head and Neck Imaging

MSCT Study of Spontaneous Rupture of Bleeding in Typical Real Angiomyolipoma

Author:LIU De-zhang, ZHOU Xiao-zhong, LIU Cui-yu,et al.

affiliation:Department of Imaging, Guangxi Guidong People's Hospital, Wuzhou 533001, Guangxi Province, China

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Abstract

Objective To improve the typical Real angiomyolipoma (RAML) spontaneous rupture of bleeding related factors of cognitive and diagnostic efficacy; to provide imaging basis for the rational selection of RAML treatment. Methods Forty-eight patients with RAML were confirmed by operation or clinical follow-up. The signs of growth, size and vascular abnormalities of spontaneous rupture of bleeding group and unruptured bleeding group were compared. Results The CT manifestations of RAML have typical characteristics,such as adipose tissue, soft tissue density, tortuous and thickening blood vessels. Breaking hemorrhage group RAML showed fat, bleeding and other mixed density lumps, displaying "onion skin" or "swirling" after contrast-enhanced. Most tumor of spontaneous rupture group showed exogenous (18/24), maximal ≧ 50mm (19/24), vascular abnormalities (21/24). There was significant difference between the two groups (P<0.01). Conclusion Typical RAML rupture of bleeding has some indication, which is an important value for the prevention and treatment of unruptured bleeding of RAML.

【Keyword】Kidney Tumor; Angiomyolipoma; Tomography, X-ray Computed

【Chart number】R737.11;R445.3

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2018.04.032