肾上腺皮质癌：附10例报告

报告１９７８年～１９９３年收治的１０例肾上腺皮质癌，其中有内分泌功能性６例，无内分泌功能性４例。有内分泌功能性肾上腺皮质癌有典型的临床表现，如Ｃｕｓｈｉｎｇ′ｓ综合征、性征异常表现。无内分泌功能性肿瘤为腺外表现：如急性腹痛、高血压等。尿１７－羟、１７－酮、皮质醇测定、ＣＴ及Ｂ超检查均有助于诊断。肿瘤越大恶性可能性越大。手术是唯一的治疗方法。因该病早期诊断困难，特别是无功能性肿瘤，因而预后差。

Adrenal Cortical Carcinoma. A Report of 10 Cases

Ten cases of adrenal cortical carcinoma, 6 functional and 4 nonfunctional were treated surgically during the period from 1978 to 1993. The functional carcinoma usually had typical clinical features, such as Cushing's syndrome,the adrenogenital syndrome etc. The nonfunctional ones had extra-adrenal symptoms such as acute abdominal pain, hypertension. A definite diagnosis can be made by the measurements of urine 17-ketosteroid, 17-hydrosteroid, CT and ultrasonography. Surgical removal of the tumor might be the only effective treatment. Early diagnosis of adrenal cortical carcinoma is very difficult, especially in nonfunctional Ones. The greater the tumor diameter is the higher the malignant degree of the tumor will be. The prognosis is disappointing.