肾上腺淋巴管瘤的诊断和治疗

目的：探讨肾上腺淋巴管瘤的临床表现、诊断及治疗方法。方法：回顾性分析本院12例肾上腺淋巴管瘤患者的临床资料，结合文献对其临床及病理表现、影像学特征及治疗情况进行探讨分析。结果：12例患者均行肿瘤切除术，其中3例行开放手术，6例行经腹腔途径腹腔镜手术，3例行腹膜后腹腔镜手术，术后均恢复良好；病理证实7例为肾上腺淋巴管瘤，5例为肾上腺血管淋巴管瘤；随访11个月～12年9个月，肿瘤无转移和复发。结论：肾上腺淋巴管瘤是一种极为罕见的肾上腺良性肿瘤，患者多无临床症状，部分患者有心悸、出汗、血压升高、腰痛等症状，术前影像学检查可提示诊断，病理检查可确定诊断。手术为首选治疗方法，预后较好。

Diagnosis and treatment of adrenal lymphangioma

Objective： To investigate the clinical features, diagnosis and treatment of adrenal lymphangioma. Method： Data of 12 cases of adrenal lymphangioma were collected and analyzed retrospectively. Result： Three pa-tients underwent retroperitoneoscopic surgery, six patients underwent transperitoneal laparoscopic surgery, and three patients underwent open excision of adrenal lymphangioma. The recovery of all the 12 patients was satisfied. All patients were followed up for 11 months to 12 years and 9 months, no recurrence or metastases was found. Conclusion.. Adrenal lymphangioma is a rare benign tumor. Not all the patients but a few have clinical manifesta-tions which consist of palpitation, diaphoresis, hypertension and low back pain. The preoperative diagnosis de-pends mainly on imaging findings and confirmed diagnosis relies on pathological examinations. Surgery is the first choice with favorable prognosis.