肾上腺髓性脂肪瘤的诊疗(附9例报告)

Diagnosis and treatment of adrenal myelolipoma (Report of 9 cases)

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9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。9例中,7例无症状,1例有腰部不适,1例血压增高。B超与CT诊断8例,1例误诊为肾错构瘤。肿瘤发生于左侧肾上腺区4例,右侧肾上腺区5例,开放手术8例,腹腔镜手术1例。结果:肿瘤直径5～11cm,术后病理检查证实均为肾上腺髓性脂肪瘤。术后随访6个月～5年,无肿瘤复发。结论:肾上腺髓性脂肪瘤可依靠B超、CT或MRI等影像学检查诊断,手术切除肿瘤安全有效,腹腔镜手术较开放手术更有优越性。

Objective：To study the diagnosis and management of adrenal myelolipoma. Methods： The clinical da ta of 9 cases of patients with adrenal myelolipoma were analyzed retrospectively and the literature wcrc reviewed. No specific clinical symptom and endocrine abnormality were noted in this group of patients, cxccpt 1 case with lumbodynia and 1 case with hypertension. All cases but one were diagnosed by uhrasound scanning and CT scan. Tumors located in the left adrenal gland in 4 cases and right in 5. Open surgery were conducted in 8 cases and Laparoscopic surgery in 1 case. Results： All cases were surgically treated. The diameters of the tumor were 5-11 cm. All cases were diagnosed as having adrenal myelolipoma by pathology. The duration of followup was from 6 months-5 years after surgery. No recurrence was observed in all cases. Conclusions：The diagnosis of adrenal my elolipoma could be established hased on ultrasound and CT scan. Surgery is safe and effective for adrenal myeloli poma.