肾上腺皮质肿瘤的诊断与治疗(附230例报告)

Diagnosis and treatment of adrenocortical adenomas (Report of 230 cases)

目的:提高肾上腺皮质肿瘤的诊断与治疗水平。方法:对230例肾上腺皮质肿瘤的临床表现、术后病理及随访结果进行分析。结果:原发性醛固酮增多症皮质瘤161例(2例为恶性醛固酮瘤),其中140例获得3个月～6年随访,均无复发;皮质醇症皮质腺瘤21例,其中19例获1～6年随访,治愈未见复发;无功能性肾上腺皮质腺瘤48例(4例为皮质腺癌),其中38例获6个月～6年随访,已治愈。结论:良性肾上腺皮质肿瘤手术疗效满意,恶性肾上腺皮质肿瘤应早期诊断,及时手术探查。

Purpose:To improve the diagnosis and treatment of adrenocortical adenomas.Methods:230 cases of adrenocortical adenomas were analyzed for clinical presentation, post operative histology and fallow up results.Results:The diagnosis was verified in all consisting of 161 cases of primary hyperaldosteronism,21 adrenal adenoma with hypercotisolism and 48 adenocortical adenomas with no endocrine function.Conclusions:Surgical excision can achieve satisfactory curative effect in the benign adrenocortical adenomas. Malignant adenocortical adenomas should be diagnosed early and operation should be done immediately.