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| 肾上腺皮质癌的诊断和治疗 | |
| 引用本文： | 林益山,陈仕平. 肾上腺皮质癌的诊断和治疗[J]. 海南医学, 2008, 0(Z3) |
| 作者姓名： | 林益山 陈仕平 |
| 作者单位： | 福建医科大学附属协和医院泌尿外科; |
| 摘 要： | 目的探讨肾上腺皮质癌的临床特点和治疗方法,提高肾上腺皮质癌的诊断和治疗水平。方法回顾性分析15例原发性肾上腺皮质癌(Adrenocorti calcarcinoma,ACC),其中有功能性肿瘤6例,无功能性肿瘤9例。15例ACC均行B超检查,11例诊断为ACC;11例行CT检查,9例诊断为ACC;4例行MRI检查,1例发现左肾静脉瘤栓。肿瘤最大径为3~20cm。按Sullivan分期:Ⅰ期2例、Ⅱ期3例、Ⅲ期4例、Ⅳ期6例。结果15例原发性ACC中2例未手术者分别于确诊后3个月、8个月死亡。行手术治疗者13例,术后1年内死亡3例,分别于术后1个月、2个月、6个月死亡。术后1年以上5年以内死亡2例,分别于术后17个月、18个月死亡,期间1例随访存活2年后失访,术后5年以上死亡2例。随访至2006年4月仍存活5例,存活时间8个月~12年8个月,平均存活5年。结论早期诊断和治疗ACC是改善预后的关键,根治性手术是有效的治疗方法。 |
| 关 键 词： | 肾上腺皮质癌 诊断 手术 |
Diagnosis and management of adrenocortical carcinoma |
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| LIN Yi-shan,CHEN Shi-ping. Diagnosis and management of adrenocortical carcinoma[J]. Hainan Medical Journal, 2008, 0(Z3) | |
| Authors: | LIN Yi-shan CHEN Shi-ping |
| Affiliation: | LIN Yi-shan,CHEN Shi-ping (Urinary Surgery Department of Union Hospital Affiliated to Fujian Medical University Fuzhou,350001,Fujian,China) |
| Abstract: | Objective To study the clinical presentation and management of adrenocortical carcinomas and improve the diagnosis and management level of adrenocortical carcinomas. Methods Retrospectively analyzed 15 cases of primary adrenocortical carcinomas. 6 cases were functional tumors, and 9 cases were nonfunctional tu- mors. All primary ACC underwent B-US examination,11 cases were diagnosed as ACC. 11 cases underwent CT examination, 9 cases were diagnosed as ACC, 4 cases underwent MRI examination, tumor embolus was... |
| Keywords: | Adrenocortical carcinoma Diagnosis Surgical operation |
| 本文献已被 CNKI 等数据库收录！ | |