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目的:探讨提高肾上腺皮质癌诊疗水平的方法。方法:回顾性总结14例肾上腺皮质癌的诊治经过,结合文献分析他们的临床特征和影像学检查特点。结果:14例中有5例术前通过MRI得到诊断。12例进行手术切除,2例活检后进行了介入化疗。结论:术前全面了解病情变化过程,结合生化检查和影像学材料仔细分析,可不断提高本病的诊断准确性。早期发现,及时手术切除是治疗的关键。
Objective: To explore ways to improve the diagnosis and treatment of adrenocortical cancer. Methods: The diagnosis and treatment of adrenocortical carcinoma in 14 cases were retrospectively reviewed, and their clinical characteristics and imaging features were analyzed according to the literature. Results: Five of the 14 patients were diagnosed preoperatively by MRI. 12 patients underwent surgical resection and 2 biopsies were performed after interventional chemotherapy. Conclusion: The preoperative understanding of the process of disease progression, combined with biochemical tests and careful analysis of imaging materials, can continue to improve the diagnostic accuracy of the disease. Early detection, timely surgical removal is the key to treatment.