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目的 分析隐匿性肾上腺肿瘤的临床特征和病理情况。方法 自 1995年 12月至1997年 4月经B超和CT诊断为隐匿性肾上腺瘤共 14例 ,全部患者均作了手术切除及病理检查。结果 14例中 10例为无功能肿瘤 ,4例存在着隐性功能变化 ,病理检查发现 3例为嗜铬细胞瘤 ,5例发生肾上腺肿块内出血坏死 ,其瘤体较大 ,直径在 6～ 16cm。结论 隐匿性肾上腺瘤是肾上腺最常见的肿瘤。少数有激素分泌。若肿瘤 >3cm或进行性增大者 ,均应尽早手术治疗。
Objective To analyze the clinical features and pathological conditions of occult adrenal tumors. Methods From December 1995 to April 1997, 14 cases of occult adrenal neoplasia were diagnosed by B-ultrasonography and CT. All patients underwent surgical resection and pathological examination. Results Of the 14 cases, 10 cases were non-functioning tumors, and 4 cases had recessive functional changes. Pathological examination revealed 3 cases of pheochromocytoma, 5 cases of internal hemorrhage and necrosis of the adrenal gland, the tumor was larger, the diameter was 6 ~ 16cm . Conclusion Occult adrenal tumors are the most common adrenal tumors. A few have hormone secretion. If the tumor is >3cm or progressively enlarged, it should be treated as soon as possible.