摘要
为探讨肾上腺意外瘤的发病特点、诊断和鉴别诊断 ,对 1993～ 2 0 0 2年在解放军总医院住院并行肾上腺手术的 98例肾上腺意外瘤患者进行了回顾性分析。结果显示 ,98例意外瘤患者发病年龄为 4 8± 5岁 ,仅 16例 (16 3% )患者因上腹部不适或腰部酸痛就诊 ,其余患者为查体或检查发现。98例意外瘤患者中恶性病变 18例 (18 4 % ) ,其中转移癌 8例 ,原发于肾上腺皮质的恶性肿瘤 6例 ,淋巴瘤 4例 ;良性病变 80例 ,其中无内分泌功能的病变 5 9例 ,有内分泌功能的腺瘤 2 1例。超声、CT、MRI检查以及间碘苄胍同位素扫描 (MIBG)
In order to explore the clinical feature, diagnosis and differential diagnosis of adrenal incidentalomas, we reviewed 98 cases of adrenal incidentalomas for which adrenalectomy was performed in our hospital from 1993 to 2002. It was found that the average age of the patients was 48 years old, 16 cases (16 3%) had no specific symptoms, and others were incidentally diagnosed. Of the 98 cases, 18 (18 4%) were malignant lesions, including 8 metastatic cancers, 8 adrenal carcinomas and 4 lymphangioma, and 80 were benign lesions. Twenty one cases were functioning adrenal adenoma. Ultrasound, CT scan, MRI or MIBG were effective methods to detect adrenal incidentalomas.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2003年第5期415-416,共2页
Medical Journal of Chinese People's Liberation Army
