肾上腺皮质腺癌临床分析  

Clinical Analysis of Adrenal Cortical Adenocarcinoma

作　　者：赵高贤[1] 刘彦军[1] 张卫星[1] 徐培元[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科,郑州市450052

出　　处：《中国肿瘤临床》2006年第7期389-390,共2页Chinese Journal of Clinical Oncology

摘　　要：目的:分析原发性肾上腺皮质腺癌的治疗及预后。方法:分析21例肾上腺皮质腺癌的临床资料。结果:术后随访1～5年,生存2年以上11例(52.4%),5年以上5例(23.8%)。结论:肾上腺皮质腺癌预后差,早期诊断、及时手术是目前治疗肾上腺皮质腺癌最有效的方法。Objective： To analyze the treatment and prognosis of primary adrenal conical adenocarcinoma. Methods： Clinical data of 21 cases with primary adrenal conical adenocarcinoma were reviewed. Of the 21 patients, 14 were male and 7 were female, with an mean age of 45.6. The tumor was on the right side in 16 and on the left in 5. The diameter of the tumor was 4 to 28cm. The tumors in thirteen cases were functional with excess hormone production and 8 were nonfunctional. Six cases had the evidence of adjacent tissue or lymph nodes invasion. Metastasis occurred in 3 cases. 15 of them received radical curative resection, 4 received palliative operation and 2 biopsy only. Results： All the cases were followed up 1 to 5 years. The 2-year survival was 52.4% （11/21） and 5-year 23.8%（5/21）. Conclusion： Adrenal conical carcinoma appears to be poor prognosis. Diagnosis of adrenoconical carcinoma at early stage and the complete resection of tumor is potentially the curative treatment.

关 键 词：肾上腺皮质腺癌 治疗 预后 

分 类 号：R736.6[医药卫生—肿瘤]