| 肾上腺皮质癌诊断和治疗 |
| |
| 引用本文： | 刘屹立,王平,杨绍波. 肾上腺皮质癌诊断和治疗[J]. 中华泌尿外科杂志, 2000, 21(1): 22-24 |
| |
| 作者姓名： | 刘屹立 王平 杨绍波 |
| |
| 作者单位： | 中国医科大学第一临床学院泌尿外科(刘屹立!110001沈阳，王平!110001沈阳，杨绍波!110001沈阳，刘同才!110001沈阳，孔垂泽!110001沈阳)，盘锦大洼县医院(王毅敏) |
| |
| 摘 要： | 目的 总结肾上腺皮质癌诊治体会。方法 １９７７～１９９８年收治２１例肾上腺皮质癌患者。针对首发症状，有无内分泌功能紊乱，影像学检查，治疗方法及随访资料进行分析。结果 ２１例中有内分泌功能紊乱者１０例，主要以柯兴综合征为主，性征异常者及原发性醛固酮增多症相对少见。影像学显示肿瘤４～１９ｃｍ，平均８．５ｃｍ。ＣＴ和ＭＲＩ揭示肿瘤边界不规则，内部质地不均匀。根治性手术治疗１７例，２年生存率３０％；肿瘤未
|
| 关 键 词： | 肾上腺皮质肿瘤 诊断 治疗 |
| 修稿时间： | 1999-04-26 |
Diagnosis and management of adrenocortical carcinoma |
| |
| LIU Yili,WANG Ping,YANG ShaoBo,et al.. Diagnosis and management of adrenocortical carcinoma[J]. Chinese Journal of Urology, 2000, 21(1): 22-24 |
| |
| Authors: | LIU Yili WANG Ping YANG ShaoBo et al. |
| |
| Affiliation: | LIU Yili,WANG Ping,YANG ShaoBo,et al.Department of Urology,the First Affiliated Hospital,China Medical University,Shenyang 110001,China |
| |
| Abstract: | Objective To study the diagnosis and treatment of adrenocortical carcinoma. Me thods 21 cases of adrenocortical carcinoma,13 men and 8 women,were reviewed.Endocrinosis was involved in 10 patients,7 of which suffered from Cushing's syndrome.The diameter of the tumors ranged from 4 to 19cm with a mean of 8.5cm.On CT or/and MRI scan,the boundary of the tumor was not clear cut and the tumor density was usually uneven. Results Radical adrenolectomy was undertaken in 17 with a 2 year survival rate of 30%.Whereas,the natural history of adrenocortical carcinoma without treatment is less than one year. Conclusions Imaging procedures are important for the early diagnosis of adrenocortical carcinoma.Prompt radical adrenolectomy is the only means to achieve a long survival. |
| |
| Keywords: | Adrenal corter neoplasms Carcinoma Diagnosis Therapy |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
