摘要
目的 分析隐匿性肾上腺肿瘤的临床特征和病理情况。方法 自 1995年 12月至1997年 4月经B超和CT诊断为隐匿性肾上腺瘤共 14例 ,全部患者均作了手术切除及病理检查。结果 14例中 10例为无功能肿瘤 ,4例存在着隐性功能变化 ,病理检查发现 3例为嗜铬细胞瘤 ,5例发生肾上腺肿块内出血坏死 ,其瘤体较大 ,直径在 6～ 16cm。结论 隐匿性肾上腺瘤是肾上腺最常见的肿瘤。少数有激素分泌。若肿瘤 >3cm或进行性增大者 ,均应尽早手术治疗。
Objective To analyse the clinical and pathological characteristics of the incidentally discovered adrenal masses (incidentaloma). Methods Fourteen hospitalized patients with incidentaloma from December 1995 to April 1997 were analysed. They were diagnosed firstly by ultrasound scan and later confimed by computed tomograph. All patients were treated by surgical removal of the masses which were later further underwent pathological study. Results In 14 patients studied, 10 were without homonal secretion while 4 had hidden functional disturbances. Pathological study revealed that the tumors though were variable in origin, most were nonfunctional, 3 were found to be pheochromacytomas; 5 manifesting hemorrhage and necrosis were those with a bigger size, e.g. 6 to 16 cm in diameter. Conclusion Incidentalomas are common adrenal tumors. Some do secret hormonas. Those with a diameter over 3 cm or enlarging continuously need resecting surgically as soon as possible.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2000年第3期175-176,共2页
Chinese Journal of Endocrinology and Metabolism
