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The clinical characteristic of adrenal metastatic tumor
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF SURGERY
- Issue:
- 2
- DOI:
- 10.3760/j.issn.0529-5815.2007.02.016
- Key Word:
- 肾上腺肿瘤;肿瘤转移;综合分析
Abstract： 目的 总结肾上腺转移性肿瘤的临床特点.方法 回顾性分析103例肾上腺转移性肿瘤患者的临床资料.结果 在103例患者中,原发肿瘤为肺癌38例(36.9%),肝癌44例(42.7%),肾癌7例(6.8%),结肠癌5例(4.9%),贲门、胃癌4例(3.9%),乳腺癌2例(1.9%),来源未明的恶性肿瘤3例(2.9%);原发肿瘤多分化不良.转移瘤直径平均3.9 cm;从发现原发肿瘤到肾上腺转移,平均时间为9.5个月.82例患者(79.6%)伴有其他脏器或淋巴结转移.5例(4.9%)患者有患侧腰痛;B超、CT、MRI无特殊征象,彩色多谱勒超声和选择性动脉造影无明显供血.大多采用综合治疗,肾上腺切除16例(15.5%),生存时间略优于非手术患者.结论 肾上腺转移性肿瘤并不罕见,多数失去手术机会.根据病史、随访及原发肿瘤的病理特点,结合影像学表现,多可明确诊断.肾上腺切除适用于原发肿瘤可以切除或有效控制且无其他脏器转移者,可望延长患者生存时间;介入治疗难以精确实施.
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