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目的 :探讨临床上少见肾上腺疾病的诊断和治疗的关键问题。方法 :对 19例病人的诊疗过程进行回顾性分析。结果 :12例术前确诊 ,7例术后确诊 ,其中 17例施行手术 ,16例成功行根治性切除 ,1例因肿瘤广泛生长粘连无法切除只行活检 ,2例穿刺活检明确诊断。肿块大小从微小结节状到 2 0cm× 2 5cm× 30cm ,重约 2 0～ 50 0 0g。恶性肿瘤者术后行放疗或化疗 ,随访 1年以上生活质量好。结论 :全面的术前准备最重要 ,治疗上首选手术探查 ,争取根治性切除肿瘤。
Objective: To investigate the key problems in the diagnosis and treatment of rare adrenal diseases in clinic. Methods: The diagnosis and treatment of 19 patients were retrospectively analyzed. Results: 12 cases were diagnosed preoperatively and 7 cases were diagnosed by operation. Among them, 17 cases underwent surgery and 16 cases underwent radical resection. Only one patient could not be removed because of extensive tumor growth. Only 2 biopsies were confirmed by biopsy. Tumor size from tiny nodules to 2 0cm × 2 5cm × 30cm, weighing about 20 ~ 50 0 0g. Malignant tumors were treated with radiotherapy or chemotherapy, followed up for more than 1 year good quality of life. Conclusion: Comprehensive preoperative preparation is the most important, the first choice of surgical exploration of surgery, for radical removal of the tumor.