肾上腺偶发瘤的临床探讨(附50例报告)

目的：探讨肾上腺偶发瘤的诊治经验方法；对我院1984年1月－2001年2月收治的50例肾上腺偶发瘤患者进行回顾性分析。结果：50例患者经内分泌功能测定，CT，B超，MRI及同位素髓质扫描等检查，内分泌功能性肿瘤19例（38．0％），不论肿瘤大小均行手术切除；无功能性肿瘤31例（62．0％），其中26例手术切除，8例为恶性，其中原发腺癌5例，转移性肿瘤3例，结论：对于肾上腺偶发瘤必须结合的内分泌检查，影像学检查及同位素扫描，以排除有无内分泌功能及是否为恶性，对有内分泌功能亢进或直径≥4cm或有恶性征象的肾上腺偶发瘤均考虑手术治疗，对无内分泌功能亢进或直径＜4cm且无恶性征象的肾上腺偶发瘤患者可定期随访。

Adreal incidentalomas (Report of 50 cases)

Purpose:To evaluate the diagnosis and management of adrenal incidentalomas.Methods: From Jan,1984 to Feb,2001, 52 cases of incidental adrenal masses were analyzed retrospectively.Results: In all cases hormonal screening, radiological evaluation and scintigraphy were performed. Open surgery and pathological study were undertaken in 19 cases of hypersecreting and 28 cases of normosecreting tumors. 8 cases of malignancy were found.Conclusions: Most adrenal incidentalomas are benign and non-hypersecreting, but all should be evaluated to rule out malignancy or endocrine hyperfunction. Adrenal incidentalomas greater than 4 cm or with malignant signs and with endocrine function should be operated. Long term followup is suggested for non-operated cases.