肾上腺髓样脂肪瘤3例报告并文献复习

目的探讨肾上腺髓样脂肪瘤的临床、影像学及病理特点。方法回顾性分析2000年1月～2011年12月3例肾上腺髓样脂肪瘤患者的临床资料并复习相关文献。患者年龄分别为53、67、73岁,平均64岁,男性1例,女性2例,左侧2例,右侧1例,肿瘤直径2.5～11cm。结果 2例患者经后腹腔镜肾上腺肿瘤切除,1例经腹开放手术切除,术后病理检查均证实为肾上腺髓样脂肪瘤。随访6个月至2年未见复发。结论肾上腺髓样脂肪瘤的诊断主要依靠B超、CT和MRI,确诊需经病理学检查证实。手术切除是主要的治疗方法,症状明显或瘤体直径〉4cm者应尽早手术。

Adrenal myelolipoma: report of 3 cases and literature review

Objective To explore the clinical,imaging and pathological features of adrenal myelolipoma.Methods The clinical data of 3 cases of adrenal myelolipoma treated in our hospital during Jan.2000 to Dec.2011 were analyzed retrospectively and relevant literatures were reviewed.The patients included 1 male and 2 female,mean age 64 years（53,67,73）.The adrenal myelolipoma was on the left side in 2 cases and the right side in 1 case,with a tumor diameter of 2.5~11 cm.Results 2 cases received retroperitoneal laparoscopic adrenalectomy,and the other open surgery.Postoperative pathological examination confirmed the diagnosis of adrenal myelolipoma in all cases.No evidence of recurrence was found within a follow-up of 6 months to 2 years.Conclusion The diagnosis of adrenal myelolipoma is mainly based on B-US,CT,and MRI,especially on pathological examination.Surgical operation is the primary choice of treatment,which should be performed as soon as possible if symptoms are obvious or the size of tumor is larger than 4 cm in diameter.