肾上腺皮质嗜酸细胞瘤1例报告并文献复习

Adrenocortical Oncocytoma:A Case Report and Review of Literatures

目的:探讨肾上腺皮质嗜酸细胞瘤临床、病理学特征及治疗方法。方法:报告1例肾上腺皮质嗜酸细胞瘤患者临床资料并复习文献。结果:患者临床表现库欣综合症,皮质醇节律异常,腹部CT示左肾上腺肿瘤,行后腹腔镜下肿瘤切除手术,术后病理证实为肾上腺皮质嗜酸细胞瘤。术后随访12个月,患者未见肿瘤复发和转移。结论:肾上腺皮质嗜酸细胞瘤临床罕见,大部分为偶发瘤。良性肿瘤多见,手术切除肿瘤为首选治疗,预后良好。

Objective：To investiage the clinical and pathologic feature and treatment of adrenocortical oncocytoma.Methods：We reported a case of adrenocortical oncocytoma and reviewed the literatrues.Results：The clincal manifestation of this case was cushing syndrome.Blood biochemistry showed plasma cortisol allorhythmia.An abdominal computed tomography（CT） scan showed a mass in the superior aspect of the left adrenal gland.The neoplasm was diagnosied as adrenocortical oncocytoma after laparoscopic adrenalectomy.Following up 12 months postoperative,the patient had no evidence of recurrent disease and metastasis.Conclusions：Adrenocortical oncocytoma is a rare,most of them are ＂incidentalomas＂ and benign.Resection of the neoplasm is the preferred treatment,which have a better prognosis.