同侧肾上腺皮质无功能腺瘤伴皮质、髓质增生的发病机制研究及诊治方法探讨(附1例典型病例并文献复习)  

Study on the pathogenesis and diagnosis and treatment of nonfunctional adenoma of the ipsilateral adrenal cortex with cortical and medullary hyperplasia(with a typical case and literature review)

作　　者：韩兴宝 张馨文 陈西良 马永涛 刘皎林 袁令兴 阮同德 HAN Xing-bao;ZHANG Xin-wen;CHEN Xi-liang(Linyi Central Hospital,Linyi 276400,China.)

机构地区：[1]临沂市中心医院,山东临沂276400

出　　处：《医师在线》2024年第3期48-50,共3页Journal of Doctors Online

摘　　要：目的探讨同侧肾上腺皮质无功能腺瘤伴皮质、髓质增生的发病机制、临床和病理特征及诊疗方法。方法结合典型病例并复习相关文献,对该疾病进行相关探讨研究。结果患者术后病理示:右肾上腺皮质腺瘤;皮质增生,以球状带增生为主;肾上腺髓质增生。结论同侧肾上腺皮质无功能腺瘤伴皮质、髓质增生临床罕见,诊断困难,治疗原则不易把握,确诊需结合临床表现、实验室与病理检查结果,手术治疗为首选方法。Objective To investigate the pathogenesis,clinical and pathological features,diagnosis and treatment of nonfunctional adenoma of the ipsilateral adrenal cortex with cortical and medullary hyperplasia.Methods Combined with typical case and review of relevant literature,the disease was discussed and studied.Results Postoperative pathology of the patient showed right adrenal cortical adenoma;Cortical hyperplasia,mainly spherical zone hyperplasia;Adrenal medulla hyperplasia.Conclusion Nonfunctional adenoma of the ipsilateral adrenal cortex with cortical and medullary hyperplasia is rare in clinic,difficult to diagnose and difficult to grasp the principle of treatment.Clinical manifestations,laboratory and pathological examination results should be combined to confirm the diagnosis,and surgical treatment is the first choice.

关 键 词：肾上腺皮质腺瘤 皮质增生 髓质增生 诊断 外科手术 

分 类 号：R73[医药卫生—肿瘤]