肾上腺偶发瘤18例临床分析

目的：提高肾上腺偶发瘤的诊治水平。方法：报告18例并结合文献讨论其不宜被早期发现的原因，潜在的手术危险性，及需警惕恶性病变等临床特点，结果：采用影像学，细针穿刺活检等方法诊断，除2例肿瘤无法切除外，共余均行手术切除，病理证实：皮质癌4例，其余均为良性病变，结论：对大于3cm的肿瘤需采取外科手术治疗，小于3cm的肿瘤可密切随访，根据其生物学行为采取不同的处理方法。

The Clinical Management of the Adrenal Incidentaloma

Objective:To evaluate the prognosis and treatment of the adrenal incidentaloma. Methods: The clinical features of 18 cases of adrenal incidentaloma were presented and discussed. Results: Using techniques of image, fine needle biopsy, pathological study after adrenal surgery in 16 patients and other diagnostic methods, the diagnosis of the adrenal incidentaloma can be definite. Conclusion: It is suggested that when a tumor's diameter is more than 3 cm, complete surgical excision must be carried out. When its diameter is less than 3 cm, the patient can be followed up and alternative therapeutic decision should be made according to the tumor's biological behavior and the increasing rate of tumor growing.