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本文收集本教研室自1967年3月至1983年4月外检标本中肾上腺疾病65例,占同期总外检标本(105126例)的0.06%.其中皮质腺瘤22例(33.85%),皮质腺癌7例(10.76%),嗜铬细胞瘤13例(20.00%),其他肿瘤2例(3.08%)皮质增生20例(30.77%),髓质增生1例(占1.54%).良性皮质病变常具有功能性,左侧多于右侧,女性多于男性.皮质肿瘤临床上常被诊断为皮质增生,“B”型超声波检查有助于腺瘤及增生的鉴别诊断.除了镜下特点之外,大体检查甚为重要,皮质腺癌常体积大,坏死广泛,囊性变多见,多数(5/7例)包裹同侧肾脏.虽嗜铬细胞瘤的临床及病理学诊断较为一致,但临床上有时与髓质增生相混淆.
This article collected 65 cases of adrenal glands in the external examination specimens of this faculty from March 1967 to April 1983, which accounted for 0.06% of the total external inspection specimens (105126 cases) in the same period. Among them, 22 cases (33.85%) of cortical adenomas, cortical glands 7 cases (10.76%) of cancer, 13 cases of pheochromocytoma (20.00%), 2 cases of other tumors (3.08%), 20 cases of cortical hyperplasia (30.77%), 1 case of medullary hyperplasia (1.54%). Benign cortical lesions Often has functional, left more than the right side, more women than men. Cortical neoplasms are often diagnosed with cortical hyperplasia in the clinic, “B” type ultrasound examination is helpful in the differential diagnosis of adenoma and hyperplasia. In addition to the characteristics of the microscope In addition, the general examination is very important, cortical adenocarcinoma often bulky, extensive necrosis, cystic degeneration, most (5/7) parcels of ipsilateral kidney. Although the clinical and pathological diagnosis of pheochromocytoma is more consistent, However, clinical sometimes confused with medulla hyperplasia.