肾上腺髓样脂肪瘤6例报告及文献复习  

Adrenal Myelolipoma:Report of 6 Cases and Review of the Literature

作　　者：翟建坡[1] 魏东[1] 苏洪学[1] 朱生才[1] 邓庶民[1] 朱刚[1] 万奔[1] 

机构地区：[1]卫生部北京医院泌尿外科,北京100730

出　　处：《临床泌尿外科杂志》2009年第5期351-355,共5页Journal of Clinical Urology

摘　　要：目的:探讨肾上腺髓样脂肪瘤的诊断、治疗。方法:收治6例肾上腺髓样脂肪瘤的患者。4例行B超和MRI检查,3例行CT检查。3例行肾素血管紧张素-醛固酮和皮质醇的测定;2例行儿茶酚胺的测定。6例患者全部接受手术治疗,其中腹腔镜手术切除4例,开放手术2例。结果:6例手术均获得成功。术后病理均诊断为肾上腺髓样脂肪瘤。术前具有的相关症状,术后均消失。5例术后获得随访时间为3个月～3年,均未见复发。结论:肾上腺髓样脂肪瘤术前诊断主要依赖于影像学检查;在治疗上有症状者宜手术切除,无症状且肿瘤直径大于4cm者可考虑手术,手术方式以腹腔镜手术为首选。Objective：To explore the diagnosis, treatment and follow-up of adrenal myelolipoma. Methods：6 patients with adrenal myelolipoma were admitted. 4 patients had the B-ultrasound and MRI scan. 3 patients had the CT scan. The renin-angiotensin-aldosterone-cortisol was tested in 3 patients, and the catecholamine was tested in 2 patients. All the patients accepted the operation, 4 were treated by laparoscopic technique, and the other 2 were treated by open surgery. Results： All the operations are successful and the post-operation pathology assures the diagnosis. Symptoms disappeared after operation. 5 patients were followed-up for 3 months-3 years. No recurrence was found. Conclusions： Before operation the clinical diagnosis of the adrenal myelolipoma depends mainly on the imaging tests; The asymptomatic myelolipomas with symptoms are advised to have surgery to remove; Surgery is reserved for symptomatic lesions or possibly larger tumors （〉 4 cm）, the laparoscopic technique is the first choice.

关 键 词：肾上腺髓样脂肪瘤 影像学检查 内分泌检查 治疗 

分 类 号：R736.6[医药卫生—肿瘤]