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报告肾肿瘤伴肾上腺偶发瘤6例，约占同期肾癌患者的11％。均经B超、CT检查偶然发现，其中肾癌5例，肾盂癌1例；伴发一侧良性肾上腺肿瘤5例，双侧肾上腺嗜铬细胞瘤1例。1例CT检查考虑为肾上腺肿瘤继续随访观察，5例经手术及病理检查证实为肾上腺良性肿瘤。并结合文献对肾癌与肾上腺偶发瘤的关系、诊断及处理进行讨论，认为肾癌所伴发的肾上腺偶发瘤不一定即为肾癌转移，磁共振成像对诊断有一定意义；对肾癌伴肾上腺肿瘤均应手术切除。
Report renal tumor with adrenal incidental tumor in 6 cases, accounting for about 11% of patients with renal cell carcinoma over the same period. All of them were diagnosed by B-mode ultrasonography and CT examination. Of them, 5 cases were renal cell carcinoma and 1 case was renal pelvic carcinoma. 5 cases were accompanied with benign adrenal tumor and 1 case was bilateral adrenal pheochromocytoma. One case of CT examination was considered adrenal tumors continue follow-up observation, 5 cases confirmed by surgery and pathological examination of benign adrenal tumors. Combined with the literature on the relationship between renal cell carcinoma and adrenal incidental tumor, diagnosis and treatment are discussed, that adrenal incidental renal cell carcinoma is not necessarily associated with renal cell carcinoma metastasis, magnetic resonance imaging has a certain significance in the diagnosis; Adrenal tumors should be surgically removed.