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目的探讨肾上腺恶性肿瘤患者的临床症状、病理特点及诊断治疗。方法回顾性分析6例肾上腺恶性肿瘤的临床资料,5例有相关临床表现,所有患者术前均经影像学检查。结果6例患者均经手术治疗,病理诊断分别为肾上腺皮质癌4例、肾上腺转移性乳突状腺癌1例和肾上腺恶性纤维组织细胞瘤1例,术后进行放疗和化疗,4例已死亡,2例存活至今。结论肾上腺恶性肿瘤术前主要通过影像学诊断,确诊需要术后的病理学检查,手术切除是目前主要的治疗方法。
Objective To investigate the clinical symptoms, pathological features and diagnosis and treatment of patients with adrenal malignancies. Methods Retrospective analysis of 6 cases of adrenal malignant tumor clinical data, 5 cases of related clinical manifestations, all patients were preoperative imaging examination. Results All the 6 patients were surgically treated. There were 4 cases of adrenocortical carcinoma, 1 case of metastatic papillary adenocarcinoma and 1 case of adrenal malignant fibrous histiocytoma, respectively. Radiotherapy and chemotherapy were performed after operation and 4 cases died , 2 survived to this day. Conclusion Adrenal malignant tumor preoperatively mainly through imaging diagnosis, diagnosis and treatment of postoperative pathological examination, surgical resection is the main treatment.