儿童肾上腺皮质癌九例报告  

Clinical diagnosis and management of adrenocortical carcinoma in children

作　　者：马军[1] 黄澄如[1] 白继武[1] 李家驹[1] 

机构地区：[1]首都医科大学附属北京儿童医院外科

出　　处：《中华泌尿外科杂志》2002年第4期200-202,共3页Chinese Journal of Urology

摘　　要：目的　提高儿童肾上腺皮质癌的诊断和治疗效果。　方法　回顾性分析 9例肾上腺皮质癌患儿资料。均为女性 ,左侧 5例 ,右侧 4例。　结果　行手术治疗 6例 ,其中姑息性切除 2例 ,肿瘤完整切除 4例 ;放弃治疗 1例 ,2例未及手术死于呼吸衰竭。手术 6例随访 3个月～ 5年 2个月 ,平均 2年 3个月。术后 2年无瘤生存 4例。　结论　早期发现、早期手术及完整切除肿瘤是提高儿童肾上腺皮质癌生存率的关键。Objective To study the clinical features of adrenocortical carcinoma in children. Methods From 1983 to 1999, 9 cases of adrenocortical carcinoma were reviewed retrospectively. Results Six cases were surgically treated, complete tumor resection in four cases and palliative tumor resection in two.All were female. All the operated cases were followed up for an average of 2 years and 3 months.The 2 year survival is 4 out of 6. Conclusions Early diagnosis and complete tumor resection is the only means to achieve good survival in children with adrenocortical carcinoma.

关 键 词：儿童 肾上腺皮质癌 诊断 治疗 病例报告 

分 类 号：R736.6[医药卫生—肿瘤]