肾上腺转移癌漏诊分析(附23例尸检报告)  

Analysis of metastatic adrenal carcinomas missed diagnosis.

作　　者：谢晓冬[1] 邢春景[1] 宋福林[2] 迟英凯[2] 刘大为[1] 郑振东[1] 刘永叶[1] 单学健[1] 

机构地区：[1]沈阳军区总医院肿瘤科,110016 [2]沈阳军区总医院病理科,110016

出　　处：《中国实用内科杂志》2004年第10期605-606,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的 提高肾上腺转移癌诊断水平。方法 报告1990-01～2000-02沈阳军区总医院完成的原发癌的尸体解剖123例。全部尸检病例中发现肾上腺转移癌23例。转移到单侧肾上腺20例,双侧肾上腺3例。结果 23例肾上腺转移癌生前全部被漏诊。结论 23例肾上腺转移癌原发病来源于肺癌者最多,占16例(69.5％)。而16例中8例为未分化小细胞肺癌。提示临床要警惕未分化小细胞肺癌的肾上腺转移。Objective To improve the diagnosis of metastatic adrenal carcinomas. Methods 123 cases of primary canc- er which had been proved by autopsy in recent 10 years were reviewed. 23 cases of metastatic adrenal carcinomas were found in all cases,the metastatic being unilateral in 20 and bilateral in 3. Results All the 23 cases of metastatic adrenal- carcinomas had been found missed diagnosis. Conclusion 16 cases are from lung cancer,among which 8 cases are small cell lung cancer. It is important to prevent metastatic adrenal carcinomas from small cell lung cancer.

关 键 词：肾上腺转移癌 漏诊 尸检报告 小细胞肺癌 双侧 原发病 单侧 结论 总医院 沈阳军区 

分 类 号：R736.6[医药卫生—肿瘤] R734.2[医药卫生—临床医学]