摘要目的进一步提高肾上腺皮质癌的诊治水平。方法对18例经手术证实并有明确病理诊断的肾上腺皮质癌进行回顾性分析。结果功能型肿瘤占50％，无功能型肿瘤占50％。手术15例，其中手术全切肿瘤9例，姑息性切除6例。穿刺活检3例。本组病例中肿瘤分期：一期16.7％，平均存活为47.3个月，5年存活率为66.7％；二期16.7%，平均存活为37个月。3年存活率为66.7%；三期22.2%，平均存活为9.8个月，1年存活率为50％；四期44.4%，平均存活为4.6个月，2年存活率为12.2%。结论外科手术治疗是肾上腺皮质癌唯一有效的治疗方法，早期诊断、早期彻底手术是治疗本病的关键。

abstractsObjective　To improve the diagnosis and treatment of adrenocortical carcinoma.　Methods　Eighteen patients with adrenocortica1 carcinoma were reviewed.　Results　Nine patients had functional tumors, and 9 patients had nonfunctional tumors. Of the 18 patients, a underwent complete resection, 6 incomplete resection, and 3 needle biopsy. Three patients (16.7%) had stage Ⅰ tumors, with a median survival rate of 47.3 months and a 5-year survival rate of 66.7%. Three patients (16.7%) had stage Ⅱ tumors, with a median survival rate of 37 months and a 3-year survival rate of 66.7%. Foue patients (22.2%) had stage Ⅲ tumors with a median survival rate of 9.8 months and a 1-year survival rate of 50%. Eight patients (44.4%) had stage IV tumors with a median survival rate of 4. 6 months and a 2-year survival rate of 12.2%.　Conclusions　Surgical resection is the only potentially curative treatment for adrenocortical carcinoma, and prompt diagnosis and early surgical resection are necessary.