肾上腺皮质腺癌的诊断与治疗  

Diagnosis and treatment of adrenocortical carcinoma

作　　者：邱明星[1] 郭凯[2] 黄翔[1] 陈照祥[1] 潘慈康[1] 

机构地区：[1]四川省人民医院泌尿外科,四川成都610072 [2]成都中医药大学附属医院泌尿外科,四川成都610075

出　　处：《现代泌尿外科杂志》2004年第1期42-44,共3页Journal of Modern Urology

摘　　要：目的　探讨肾上腺皮质腺癌的早期诊断、手术及围手术期处理。方法　回顾分析了 1990年至 2 0 0 1年间 31例肾上腺皮质腺癌临床资料 ,并与 1978年至 1989年同种病例作比较。结果　近 10年患者病理分期更趋向早期 ,更易行根治性切除 ,5年的存活率明显提高。结论　影像学的发展 ,使患者易早期诊断 ;围手术期的充分准备是减少手术并发症及死亡率的关键。Objective To discuss the early diagnosis, operation and perioperative preparation of adrenocortical carcinoma (ACC). Methods We retrospectively reviewed all the patients diagnosed with ACC who underwent surgical resection at our hospital from 1990～2001. In addition, we compared this group with similar patients treated at our hospital from 1978～1989. Results The recent 10 year patients were more likely to present at an earlier stage, undergo curative resections, and had improved 5 year survival than institutional historical comparisons. Conclusion With the development of imaging, adrenocortical carcinoma is more likely to be diagnosed at an early stage. To reduce the complications and the death rate after surgery, it is important to make thorough perioperative preparations.

关 键 词：肾上腺皮质腺癌 诊断 治疗 围手术期 

分 类 号：R736.6[医药卫生—肿瘤]