摘要
目的 探讨肾上腺髓脂瘤的临床与病理特点。 方法 对 6例肾上腺髓脂瘤患者的临床表现、实验室检查、影像学和病理检查等资料进行分析。 结果 6例患者临床表现腰部或胁肋部不适、隐痛或胀痛 ;伴肥胖 2例 ,伴高血压 4例。影像学检查特征为有脂肪组织 ,伴软组织影、出血灶、钙化及残留肾上腺组织等。 6例均行肾上腺和肿瘤切除术 ,病理检查显示肿瘤由成熟脂肪细胞和骨髓造血细胞组成。随访 6个月~ 7年 ,临床症状消失 ,无肿瘤复发。 结论 CT、MRI检查有助于肾上腺髓脂瘤的术前诊断 。
Objective To study the clinical and pathological features of adrenal myelolipoma. Methods The clinical manifestration,experimental and imaging data of 6 patients with adrenal myelolipoma were retrospectively analyzed. Results The disease manifested nonspecific symptoms and signs,including faint lumber,flank or bulk pain.The diagnosis of adrenal myelolipoma depends on B ultrosound scan,CT and MRI,revealing a fatty mass with various other densities such as soft tissue,intratumoural haemorrhage,calcification and residual adrenal cortex.Tumor excision and adrenalectomy were performed in all patients.The pathological examination showed that the tumor consists of mature fat cells and hematopoietic elements.The patients have been asymptomatic on following up for 0.5~7 years and there is no recurrence of tumor. Conclusions CT and MRI images features are helpful for the pre operative diagnosis of adrenal myelolipoma.Pathologically,it is characterized by a mixture of mature fat and hematopoietic elements.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第1期17-18,共2页
Chinese Journal of Urology