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目的:总结肾上腺区少见肿瘤的诊治经验。方法:回顾性分析2010年1月~2016年12月收治21例肾上腺区少见肿瘤患者的临床资料。结果:21例肾上腺区肿瘤均手术治疗并获病理结果,其中少见转移瘤4例,皮质腺癌3例,髓样脂肪瘤3例,节细胞神经瘤3例,恶性嗜铬细胞瘤2例,神经母细胞瘤2例,嗜酸细胞瘤、淋巴瘤、腹膜后毛细血管瘤、纤维瘤病各1例。术前明确诊断仅6例。肿瘤完整切除18例,部分切除3例。联合脏器切除3例。结论:肾上腺区少见肿瘤术前诊断困难,治疗仍以手术为主。
Objective: To summarize the diagnosis and treatment of rare tumors in the adrenal gland. Methods: The clinical data of 21 patients with adrenal gland tumor from January 2010 to December 2016 were retrospectively analyzed. Results: 21 cases of adrenal tumors were surgically treated and pathological results, including 4 rare cases of metastases, 3 cases of cortical adenocarcinoma, 3 cases of myeloid lipoma, 3 cases of ganglioneuroma, 2 cases of malignant pheochromocytoma, Neuroblastoma in 2 cases, oncocytoma, lymphoma, retroperitoneal capillary hemangioma, fibromatosis in 1 case. Preoperative clear diagnosis of only 6 cases. Complete tumor resection in 18 cases, partial resection in 3 cases. Combined organ resection in 3 cases. Conclusion: Preoperative diagnosis of rare adrenal tumors is difficult, the treatment is still dominated by surgery.