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患者男性,71岁。体检发现右肾上腺占位。查体:未扪及浅表肿大淋巴结。血压166/88 mmHg。血生化检查:Ca0.98 mmol/L(正常值1.15～1.35 mmol/L),血糖16.4 mmol/L(正常值3.9～6.1 mmol/L),醛固酮33.5 pg/ml(正常值73～239 pg/ml)。胸部X线片示肺气肿改变。腹部B超示右肾上腺区探及低回声实性肿块,大小5.9 cm×3 cm。术中见肿块位于右肾上腺上极前内侧,靠近腔静脉并与周围组织粘连,大小6 cm×3 cm×2 cm,完整切除右侧肾上腺。
Patient male, 71 years old. Physical examination found that the right adrenal placeholder. Physical examination: no palpable superficial lymph nodes. Blood pressure 166/88 mmHg. Blood biochemical tests included: Ca 0.98 mmol / L (normal 1.15-1.35 mmol / L), 16.4 mmol / L (normal 3.9-6.1 mmol / L), aldosterone 33.5 pg / ml (normal range 73-239 pg / ml). Chest X-ray showed emphysema change. Abdominal B ultrasound shows the right adrenal area exploration and low echo solid mass, the size of 5.9 cm × 3 cm. Intraoperative see the mass located on the inside of the right adrenal pole on the pole, close to the vena cava and the surrounding tissue adhesions, the size of 6 cm × 3 cm × 2 cm, complete removal of the right adrenal.