肾上腺髓性脂肪瘤21例诊治分析  

Adrenal myelolipoma:diagnosis and treatment of 21 cases

作　　者：石都 孔垂泽[1] 满晓军[1] 

机构地区：[1]中国医科大学附属第一医院泌尿外科,辽宁沈阳110001

出　　处：《现代泌尿外科杂志》2014年第7期441-443,共3页Journal of Modern Urology

摘　　要：目的 探讨肾上腺髓性脂肪瘤的诊断与治疗方法.方法 回顾性分析21例肾上腺髓性脂肪瘤患者的临床资料,总结诊断和治疗经验.21例病例中,14例无症状,5例腰痛,2例血压升高.B超、CT诊断20例,1例因肿瘤破裂出血误诊为肾上腺错构瘤.肿瘤发生于左侧肾上腺区7例,右侧肾上腺区12例,双侧肾上腺区2例.开放手术5例,腹腔镜手术16例.结果 21例手术均获成功.肿瘤直径4～12 cm,术后病理检查证实均为肾上腺髓性脂肪瘤.术后随访3个月～5年,无肿瘤复发.结论 肾上腺髓性脂肪瘤可依靠影像学检查诊断,手术切除肿瘤安全有效,手术方式以腹腔镜为首选.Objective To explore the diagnosis and management of adrenal myelolipoma.Methods Clinical data of 21 cases of adrenal myelolipoma were analyzed retrospectively and relevant literatures were reviewed.No specific clinical symptoms or endocrine abnormalities were noted except for 5 cases with lumbodynia and 2 cases with hypertension.All cases were diagnosed by ultrasound examination and CT scan,but 1 case with acute hemorrhage was misdiagnosed as adrenal leiomyolipoma.Tumors were located in the left adrenal gland in 7 cases,in the right in 12 cases,and bilaterally in 2 cases.Open surgeries were conducted in 5 cases and laparoscopic surgeries in 16 cases.Results Tumors were all successfully removed.The size of tumors ranged from 4 to 12 cm in diameter.All cases were diagnosed pathologically as adrenal myelolipoma.During the follow-up of 3 months to 5 years,no recurrence was observed in all cases.Conclusions The diagnosis of adrenal myelolipoma depends on ultrasound,CT or MRI scans.Surgical treatment is safe and effective,while laparoscopic approach may be the first choice.

关 键 词：肾上腺髓性脂肪瘤 影像诊断 手术治疗 腹腔镜 

分 类 号：R736.6[医药卫生—肿瘤]