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肾上腺转移癌临床上比较罕见,我院于1988年1月～1998年12月共诊治肾上腺转移癌6例,均经手术治疗,病理证实,现报道如下。 一、临床资料 1.一般资料:本组男性4例,女性2例,年龄介于30～60岁不等,平均住院天数为14.5天,从治疗原发病至发现肾上腺转移癌时间最短半年,最长5年。 2.原发病灶与肾上腺转移部位:原发肿瘤中肝癌1例,肺癌3例,乳腺癌1例,左肾癌1例。转移癌位于左侧肾上腺4例,右侧肾上腺2例。 3.症状、体征和辅助检查:临床症状表现为腹胀,腰背部疼痛4例,另2例在病侧腹部可触及包块。本组病例中血常规及ACTH、17羟,17-酮、立、卧位醛固酮、CA、VMA、激素试验等内分
Adrenal metastasis is relatively rare in clinical practice, our hospital in January 1988 ~ December 1998 a total of 6 cases of adrenal metastatic carcinoma were treated by surgery, confirmed by pathology, are reported below. First, the clinical data 1. General information: The group of 4 males and 2 females, aged between 30 to 60 years old, the average length of stay was 14.5 days, from the treatment of primary disease to find the shortest half a year of adrenal metastasis, Up to 5 years. 2. Primary lesions and adrenal metastases: primary cancer in 1 case of liver cancer, lung cancer in 3 cases, 1 case of breast cancer, 1 case of left kidney cancer. Metastatic cancer located in the left adrenal in 4 cases, 2 cases of right adrenal. 3. Symptoms, signs and auxiliary examination: clinical symptoms manifested as abdominal distension, 4 cases of back pain, the other 2 cases of palpable mass in the affected side of the abdomen. The patients in the blood and ACTH, 17 hydroxy, 17-ketone, standing, lying aldosterone, CA, VMA, hormone test, etc.