肾上腺转移癌的诊断和治疗（附17例报告）  

Diagnosis and therapy of adrenal metastasis --a report of 17 cases

作　　者：魏峰[1] 张孝斌[1] 周本正[1] 饶婷[1] 

机构地区：[1]武汉大学人民医院泌尿外科,430060

出　　处：《临床外科杂志》2009年第8期555-556,共2页Journal of Clinical Surgery

摘　　要：目的探讨肾上腺转移癌的临床特点与诊治方法。方法对1999年1月至2008年10月收治的肾上腺转移癌患者17例临床资料进行回顾性分析。其中7例行肾上腺转移癌切除术，其余采用放疗、化疗或介入治疗。结果原发灶为肺癌6例，肝癌4例，肾癌3例，乳腺癌2例，结肠癌和胆管癌各1例。7例行手术治疗患者均获随访，平均生存期为（19．2±3．1）个月，比非手术者的平均生存期长（P〈0．05）。结论B超及CT是诊断肾上腺转移癌的重要检查方法，PET—CT对诊断肾上腺转移癌有较高的临床价值。对于无局部淋巴结肿大、局限在肾上腺包膜内的孤立性转移癌应尽可能行手术治疗，而腹腔镜下肾上腺切除也是安全、有效的。Objective To evaluate the clinical features, diagnosis and treatment of adrenal metastasis. Methods The data of 17 cases of adrenal metastasis who were admitted from January 1999 to October 2008 were reviewed. Seven cases of the adrenal metastases were surgically removed, the others of the adrenal metastases received adjuvant therapy. Results Among the primary carcinoma there were 6 cases of lung carcinoma,4 cases of hepatocellular carcinoma, 3 cases of renal cell carcinoma, 2 cases of breast carcinoma, 1 case of colon carcinoma and bile duct carcinoma. The mean survival of the 7 patients with surgically removed was 19.2 ± 3.1 months after the resection of adrenal metastases, Patients with surgically removed adrenal metastases had better survival rate than those without surgical resection （P 〈 0. 05）. Conclusion Uhrasonography and CT are important diagnosis methods for adrenal metastasis, and PET - CT is of greater value in clinical practice. Single adrenal metastasis without adjacent lymphadenopathy and no evidence of tumor invasion are indications of adrenalectomy. Laparoscopic adrenalectomy is safe and efective for those well - selected patients.

关 键 词：肾上腺肿瘤/转移 诊断 治疗 

分 类 号：R736.6[医药卫生—肿瘤]