摘要
目的探讨肾上腺髓性脂肪瘤的诊断与治疗方法。方法回顾性分析26例肾上腺髓性脂肪瘤患者的临床资料,并总结其诊断和治疗经验。26例中,16例无症状,8例有腰部或上腹部不适、疼痛,2例出现血儿茶酚胺水平增高;B超与CT各诊断24例,另2例诊断为肾血管平滑肌脂肪瘤;8例行磁共振成像(MRI)检查,均诊断为肾上腺髓性脂肪瘤;3例行腹主动脉造影检查提示肿瘤与肾脏无关。肿瘤发生于左侧14例,右侧11例,双侧1例,单纯行肿瘤切除治疗16例,肿瘤并肾上腺全切除10例,其中4例初次诊断时肿瘤小于5cm,随诊6个月、9个月及2年肿瘤增大后手术治疗。结果肿瘤直径5～10cm,术后病理检查证实均为肾上腺髓性脂肪瘤,其中Ⅰ型9例,Ⅱ型17例。术后随访6～28个月,无肿瘤复发。结论肾上腺髓性脂肪瘤可依靠B超、CT或MRI的影像学检查诊断,对直径>5cm的肿瘤宜手术切除。
Objective To evaluate the diagnosis and management of adrenal myelolipoma. Methods The clinical data of 26 cases were analyzed retrospectively and the selected articles were reviewed. There were no specific clinical symptom and endocrine abnormality, except increasing catecholamine in 2 cases. All cases but two were diagnosed by B model ultrasound scanning ( B US), CT or magnetic resonance imaging (MRI). Results Twenty six cases were surgically treated, the diameter of the tumor was 5-10 cm, simple tumor resection was performed in 16 cases, and complete adrenal resection was performed in 10 cases. All the operated cases were proved by pathologists. The duration of follow up was from 6-28 months after surgery. No recurrence was observed. Conclusions The diagnosis of adrenal myelolipoma could be established based on B US, CT or MRI. The tumors whose diameter is larger than 5 cm in size should be removed.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2004年第23期1444-1446,共3页
Chinese Journal of Surgery
