腎上腺偶發(fā)瘤191例診治分析.pdf

1、Y1414181碩士學(xué)位論文(臨床醫(yī)學(xué))腎上腺偶發(fā)瘤19l例診治分析所在所院：姓名：指導(dǎo)教師：學(xué)科專業(yè)：入學(xué)日期：論文完成日期：北京協(xié)和醫(yī)院朱志強王惠君泌尿外科(臨床醫(yī)學(xué))2005年8月2008年5月學(xué)校代碼：10023學(xué)號：S20050554AbstractDiagnosisandtreatmentofU1agnOS1Sandtreatment0t1●^aana上ySlSOtadrenalincidentalomas：19lcases

2、0ibjectiveToevaluatethedia鯽osisandtreatmentofadre豫1incidental伽aS(J虹)1融terial8andMethodsF蛔均nllary2000to丁anuary2008，191patientswithpath0109icallyconfimedA1wereanalyzedretr0Spectively184呲i朗tsunderWentatotalof187opemtionSLap

3、aroscopicadrenalecto呵Wasperfo瑚edin120caLses，openapproachin67caSes7pati鯽tsmdellr鯽tneedlebiopSyResults0f57(298％)hypersecretoryAI，39caSes(204％)Werepheochr鋤0cyto腿(includinglmli鯽ancy)，13(68％)werecortiS01側(cè)llcingad咖，and5(2鰳were

4、aldosterone_妒odlIcingad咖164cases(859％)賊ebeni班maSSes，inWhich87cases(458％)wereclinicallynonhypersecretingcorticaladen0IIaA啪ng27(141％)malignantt珊ors，adrenalcorticalcarcirl0ⅡlaLwasfalndin9cases他7％)andlIletastatccancerin12(63

5、％)952％ofbeni卯corticaladenOlIlaS耽relessthan6cm，arId889％of池nocorticalcarcino聯(lián)lSwere鰳terthan6伽C1)nclusi∞sItisess朗tialtoeval唿teh()rⅡDnalactivityandassessmlignantpotentialThesizeoft咖Oristhestrongpreditor0fmli舢cy1lperationshou

6、ldbepe—’onnedfbrbq)er文≥cretoryt姍orsandunderlying腿li舀粼yklp日roscopica擊一enalectolIⅣhaskcometheoptinL姐a1)pr0achfbrbenign池nalt硼orandcanbeperf刪inthecarefullyselectedpatientwithadrena：Imli朗鋤cyKeyords：adrenalglandneoplasms，diagn