右肾上腺皮质癌误诊1例并文献复习

目的：探讨肾上腺皮质癌容易出现误诊的原因及诊治方法。方法：报道误诊为原发性肝癌的肾上腺皮质癌1例．结合献对肾上腺皮质癌发生定位、定性误诊的因素进行综合分析。结果：巨大肿瘤造成周围器官受压变形移位．加之穿刺活检组织量少且混有周围组织器官成分，导致本病例的诊断错误，此后经手术切除治疗，病理检查明确诊断。结论：巨大肾上腺皮质癌较易发生定位、定性误诊．多种影像学检查的综合分析有助于减少误诊的出现，根治性手术切除是唯一的有救治疗方法。

One Case of Misdiagnosed Right Adrenocortical Carcinoma and Literature Review

Objective:To investigate the cause of misdiagnosis and the diagnosis and treatment of adrenocortical carcinoma.Methods:One case of adrenocortical carcinoma misdiagnosed as primary liver carcinoma was reported, and the causes of misdiagnosis were discussed.Results:The huge tumor caused deformity and shift in location of its surrounding organs, and the punctured tumor tissue was mingled with surrounding tissue ,which led to misdiagnosis.Conclusion:Multiple imaging examinations were very helpful for reducing misdiagnosis. Prompt radical adrenolectomy was the only effective treatment.