摘要
目的探讨肾上腺转移癌的临床特点与诊治方法。方法对1992年至2003年收治的18例肾上腺转移癌患者的病理、临床表现、治疗及预后进行回顾性研究。结果肾上腺转移癌原发肿瘤中肺癌7例,肝癌4例,乳腺癌3例,肾癌2例,胃癌和胆管癌各1例。临床表现为腰背部胀痛5例,乏力、消瘦3例。完整切除肾上腺转移癌的8例患者术后平均生存期(28个月)比非手术组(9.5个月)长(P<0.05)。结论肾上腺转移癌患者大多无特异性临床症状;B超和CT在肾上腺转移癌的诊断中具有重要作用;外科手术可延长患者生存期。
Objective To investigate the clinical features, diagnosis and treatment of metastatic adrenal carcinoma. Methods The pathology, clinical manifestations, treatmept and prognosis of 18 patients with metastatic adrenal carcinoma were studied retrospectively from 1992 to 2003. Results The primary tumors of 18 cases of metastatic adrenal carcinoma included 7 cases of lung carcinoma, 4 cases of hepatoma, 3 cases of mammary cancer, 2 cases of renal cell carcinoma, 1 case of gastric cancer and 1 case of cholangiocarcinoma. The survival time of 8 patients undergoing total adrenalectomy was 5 months to 4 years. The mean survival time （28 months） of patients undergoing total adrenalectomy was longer than that of non-operation group （P〈0.05） . Conclusion Most patients with metastatic adrenal carcinoma have no special clinical symptoms and signs. Ultrasonography and computed tomography play an important role in the diagnosis of metastatic adrenal carcinoma. Complete adrenalectomy should be recommended for a metastasis of adrenal carcinoma to prolong the survival time.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2005年第4期498-499,共2页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
关键词
肾上腺肿瘤
转移
adrenal neoplasms
metastasis
