摘要
目的认识肾上腺肿瘤临床特点,提高其诊治水平。方法回顾分析258例肾上腺肿瘤,结合临床资料进行综合分析。结果258例肾上腺肿瘤中库欣综合征79例(30.6%),嗜铬细胞瘤71例(27.5%,71/258),原发性醛固酮增多症69例(26.7%,69/258),意外瘤62例(24.0%,62/258)(其中有功能瘤12例),肾上腺恶性肿瘤27例(12.2%,27/222)。结论肾上腺肿瘤的临床表现复杂多样,对疑诊患者应行内分泌激素的测定和影像学检查。意外瘤在肾上腺肿瘤中的比例增高,临床上应予以重视,避免漏诊。
Objective To improve the diagnosis and treatment for adrenal tumors. Methods .Clinical data of 258 cases of adrenal tumors were analyzed retrospectively. Results Of 258 cases of adrenal tumors,79 cases （30.6 % ） were Cushing syndrome, 69 cases （26.7%, 69/258） were primary aldosteronism, and 71 cases （ 27.5 %, 71/258） were pheoehromocytoma;62 cases（24.0% ,62/258） of incidentaloma （included 12 cases functional tumors）, and there were 27 cases（12.2% ,27/222） of adrenal malignant tumor. Conclusion The clinical manifestations of adrenal tumors are complex,whereas hormone level examination and uhrasonography and CT scanning are helpful for the diagnosis of the suspected cases. Prevalence of incidentaloma in China is not low and the disease should attract more attention to avoid misdiagnosis.
出处
《临床荟萃》
CAS
2010年第11期943-945,共3页
Clinical Focus
关键词
肾上腺肿瘤
高血压
体征和症状
adrenal gland neoplasms
hypertension
signs and symptoms
