摘要目的 探讨肾上腺偶发瘤治疗方法.方法 回顾性分析1996年1月至2006年1月156例肾上腺偶发瘤患者的临床资料及随访结果.结果 156例患者中1例因多器官转移行放疗、化疗,4例肿瘤较小者随诊观察,151例接受手术治疗.肿瘤直径1.3～15.0 cm.病理结果提示嗜铬细胞瘤34例,皮质腺瘤83例,皮质癌5例,转移癌3例,肾上腺囊肿等其他良性肿瘤26例.随访136例,随访时间1～7年,3例转移癌患者1.5年内均死亡;随访到的2例皮质癌患者分别于术后2.0、2.5年死于复发、转移.余131例均健康存活,其中3例口服地塞米松至术后1年.结论 恶性肿瘤、有功能肿瘤、亚临床型肾上腺皮质肿瘤、嗜铬细胞瘤、直径大于3cm的肿瘤应手术治疗;而小于3cm的无功能肿瘤可定期严密随访.

abstractsObjective To explore the therapeutic methods of adrenal incidentalomas.Methods The data of 156 cases were analyzed retrospectively.Results The operation were performed in 151 cases,radiotherapy and chemotherapy in 1 case and follow up in 4 cases.The diameter of the tumors were 1.3-15.0cm. Pathological results indicared that 34 cases were pheochromocytoma,83 adrenal cortical adenoma,5adrenal cortical carcinoma,3 metastases carcinoma,and 26 other benign tumors.One hundred and thirty-six cases were followed-up for 1-7 years.3 cases of metastases carcinoma died in 1.5 years,2 cases of cortical carcinoma died in 2.0 and 2.5 years for recurrence and metastases.One hundred and thirty-one cases survived healthly,3 cases of them take orally Corson for 1 year after post-operation.Conclusions Surgical operations should be performed in malignant tumors.hypersecretional tumors,deuto-clinical adrenal cortical tumors,pheochromocytoma and those whose diameters of tumors are over 3 cm.But those whose tumors had nonhypersecretions and diameters are less than 3 cm should be followed up closely.