| 肾上腺皮质癌的诊断和治疗 |
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| 引用本文： | 王文生,程远合,刘刚,史振忠. 肾上腺皮质癌的诊断和治疗[J]. 临床肿瘤学杂志, 2002, 7(4): 287-288 |
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| 作者姓名： | 王文生 程远合 刘刚 史振忠 |
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| 作者单位： | 471003,河南洛阳,洛阳医学高等专科学校附院泌尿外科;471003,河南洛阳,洛阳医学高等专科学校附院泌尿外科;471003,河南洛阳,洛阳医学高等专科学校附院泌尿外科;471003,河南洛阳,洛阳医学高等专科学校附院泌尿外科 |
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| 摘 要： | 目的 :提高肾上腺皮质癌的诊治水平。方法 :回顾分析 12例肾上腺皮质癌的临床诊治资料。结果 :功能性肿瘤 8例 ,主要以柯兴综合征为主 ,性征异常者及原发性醛固酮增多症相对少见。无功能性肿瘤 4例。影像学检查显示肿瘤大小 5 5～ 18 5cm ,平均 7 5cm。CT和MRI提示肿瘤边界不规则 ,内部质地不均匀。 12例均行肾上腺癌根治性手术 ,3年生存率2 5 %。结论 :影像学检查结合临床表现可以对肾上腺皮质癌作出诊断。根治性手术是肾上腺皮质癌有效的治疗方法
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| 关 键 词： | 肾上腺皮质肿瘤 癌 诊断 治疗 |
| 文章编号： | 1009-0460(2002)04-0287-02 |
| 修稿时间： | 2001-10-26 |
Diagnosis and management of adrenocortical carcinoma |
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| Wang Wensheng,Cheng Yuanhe,Liu Gang,et al.. Diagnosis and management of adrenocortical carcinoma[J]. Chinese Clinical Oncology, 2002, 7(4): 287-288 |
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| Authors: | Wang Wensheng Cheng Yuanhe Liu Gang et al. |
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| Affiliation: | Wang Wensheng,Cheng Yuanhe,Liu Gang,et al. Department of Urology,the Affiliated Hospital,Luoyang Medical College,Luoyang 471003 |
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| Abstract: | Objective:To evaluate the diagnosis and treatment of adrenocortical carcinoma.Methods:12 cases of adrenocortical carcinoma were reviewed.Results:8 patients had functional tumors, which suffered from Cushing's syndrome. 4 patients had nonfunctional tumors. The diameter of the tumors ranged from 5 5 to 18 5 cm with a mean of 7 5 cm. On CT or/and MRI scan, the boundary of the tumor was not clear cut and the tumor density was usually uneven. Radical adrenolectomy was undertaken in 12 with a 3 year survival rate of 25%.Conclusion:Imaging procedures are important for the diagnosis of adrenocortical carcinoma. Radical resection is the effective treatment for adrenocortical carcinoma. |
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| Keywords: | Adrenal cortex neoplasms Carcinoma Diagnosis Treatment |
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