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目的探讨肾上腺皮质癌临床特点和治疗方法,提高肾上腺皮质癌的诊治水平。方法回顾性分析经病理确诊的19例肾上腺皮质癌的临床资料。肿瘤直径1～20cm,平均9.3cm,1～5cm4例,5～10cm6例,>10cm9例。Ⅰ期2例,Ⅱ期6例,Ⅲ期5例,Ⅳ期6例。结果手术完整切除13例,姑息性切除4例,仅作活检2例。术后平均生存28个月。其中5例行腹腔镜手术,4例至今生存,1例2年后死于肺转移。结论早期诊断、早期手术是治疗关键,腹腔镜手术也是治疗肾上腺皮质癌有效的方法。
Objective To investigate the clinical features and treatment of adrenocortical carcinoma and to improve the diagnosis and treatment of adrenocortical carcinoma. Methods The clinical data of 19 adrenocortical carcinomas confirmed by pathology were analyzed retrospectively. Tumor diameter 1 ~ 20cm, an average of 9.3cm, 1 ~ 5cm4 cases, 5 ~ 10cm6 cases,> 10cm9 cases. 2 cases in stage Ⅰ, 6 cases in stage Ⅱ, 5 cases in stage Ⅲ and 6 cases in stage Ⅳ. Results Complete resection in 13 cases, palliative resection in 4 cases, only for biopsy in 2 cases. The average survival after 28 months. Of these, 5 received laparoscopic surgery, 4 survived to this day, and 1 died of lung metastases 2 years later. Conclusion Early diagnosis and early surgery are the key points for treatment. Laparoscopic surgery is also an effective method for the treatment of adrenocortical cancer.