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目的 :提高对肾上腺偶发瘤的诊治水平。方法 :对肾上腺偶发瘤 39例进行术后病理及随访结果分析。结果 :37例经手术治疗 ,效果满意 ;1例恶性肿瘤并有肺转移者无法切除 ,仅取活检 ;1例肿瘤直径 2 .0 cm者 ,本人及家属不愿手术而出院随诊。结论 :在健康体检时应常规行肾上腺 B超检查 ,CT、MRI对确诊肾上腺占位病变有较高价值。恶性肿瘤、功能性肿瘤直径≥ 2 .0 cm者均应手术 ,<2 .0 cm者可行 B超、CT随诊。
Objective: To improve the diagnosis and treatment of occasional adrenal tumors. Methods: 39 cases of adrenal incidental tumor pathology and follow-up results were analyzed. Results: Thirty-seven patients were satisfied with the result of surgery. One case of malignant tumor with lung metastasis could not be removed, only the biopsy was taken. One case of tumor with a diameter of 2.0 cm had not been surgically treated and discharged. Conclusion: Adrenal B-ultrasound should be routinely performed in healthy physical examination. CT and MRI have higher value in diagnosing adrenal space-occupying lesion. Malignant tumors, functional tumors ≥ 2.0 cm diameter should be surgery, <2.0 cm feasible B-ultrasound, CT follow-up.