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本文对无其它部位转移、可手术切除的非小细胞性肺癌(NSCLC)患者的肾上腺转移发生率、病理及其生存率进行了前瞻性研究。检查包括全血细胞计数、肝功能、肾功能、肺功能、纤维支气管镜、胸片、核素骨扫描、颅、胸及上腹部(包括肝和双侧肾上腺)CT扫描。伴肾上腺肿块者在CT导引下用22号或19.5号针行经皮针吸活检,若穿刺物细胞学诊断不明,则行单侧肾上腺切除术;若细胞或组织学检查
This study prospectively investigated the incidence, pathology, and survival rate of adrenal metastases in patients with non-small cell lung cancer (NSCLC) who had no other site metastases. The examination included complete blood cell counts, liver function, renal function, lung function, fiberoptic bronchoscopy, chest radiographs, radionuclide bone scans, CT scans of the skull, chest and upper abdomen (including liver and bilateral adrenal glands). Patients with adrenal glands underwent percutaneous needle biopsy under the guidance of CT with a 22nd or 19.5th needle. If the cytological diagnosis of the puncture is not known, unilateral adrenalectomy is performed; if the cell or histological examination is performed