【摘要】 目的探讨肾上腺恶性肿瘤的临床病理特征。方法回顾性分析20例确诊的肾上腺恶性肿瘤患者的临床病理资料。结果全组20例肾上腺恶性肿瘤中,肾上腺皮质癌5例(25.0%),恶性嗜铬细胞瘤2例(10.0%),恶性纤维组织细胞瘤1例(5.0%),转移性癌12例(60.0%)。5例肾上腺皮质癌存活7~25个月;2例恶性嗜铬细胞瘤分别存活15和37个月;1例恶性纤维组织细胞瘤存活6个月;12例转移性癌中,手术的10例存活4~24个月,非手术的2例分别存活2和4个月。结论肾上腺恶性肿瘤发病比较隐匿,恶性程度高,预后差,早期诊断和治疗是改善预后的关键。更多还原

【Abstract】 Objective To investigate the clinicopathological features of adrenal malignant carcinoma. Methods The clinicopathological data of 20 cases of adrenal malignant carcinoma were analyzed retrospectively. Results Twenty cases of adrenal malignant carcinoma included 5 cases( 25. 0%) of adrenocortical carcinoma,2 cases( 10. 0%) of malignant pheochromocytoma,1 case( 5. 0%) of malignant fibrous histiocytoma,12 cases( 60. 0%)of metastatic carcinoma. Five cases of adrenocortical carcinoma survived for 7-25 months. Two cases of malignant pheochromocytoma survived for 15 months and 37 months separately. One case of malignant fibrous histiocytoma survived for 6 months. Of the 12 cases of metastatic carcinoma,the survival time was 4-24 months of the 10 cases in the operative group and 2 or 4 months of 2 cases in the non-operative group. Conclusion Adrenal malignant carcinoma has the feature of insidious onset,the malignant degree is high,and the prognosis is poor,so early diagnosis and therapy are important to improve the prognosis.更多还原