Objective:To summarize the diagnostic and treatment experiences for rare adrenal area tumors.Methods:Between January 2010 and December 2016,a total of 21 patients (10 men and 11 women with an age ranging from 8-73 years,mean 45 years) with adrenal area tumors were treated in our urological department.The data of those patients were analyzed retrospectively.All the patients received surgical operation and obtained pathological results.There were 4 cases of rare adrenal metastatic tumors,3 cases of cortical adenocacinoma,3 cases of myelolipoma,3 cases of ganglioneuroma,2 cases of malignant pheochromocytoma,2 cases of neuroblastoma,1 case of oncocytoma,1 case of lymphoma and 2 cases of rare primary retroperitoneal tumors.The right diagnoses were acquired only in 6 cases before operation.Radical resection was carried out in 18 cases and partial resection in 3 cases,and vicinal organs were cut together in 3 cases.Results:All the patients received surgical operation and obtained pathological results.Ther were 4 cases of rare adrenal metastatic tumors,3 cases of cortical adenocacinoma,3 cases of myelolipoma,3 cases of ganglioneuroma,2 cases of malignant pheochromocytoma,2 cases of neuroblastoma,1 case of oncocytoma,1 case of lymphoma and 2 cases of rare primary retroperitoneal tumors.The right diagnoses were acquired only in 6 cases before operation.Radical resection was carried out in 18 cases and partial resection in 3 cases,and vicinal organs were cut together in 3 cases.Conclusions:Preoperative diagnosis was very difficult for the rare adrenal area tumors and surgical therapy remained the first choice of treatment.%目的:总结肾上腺区少见肿瘤的诊治经验.方法:回顾性分析2010年1月~2016年12月收治21例肾上腺区少见肿瘤患者的临床资料.结果:21例肾上腺区肿瘤均手术治疗并获病理结果,其中少见转移瘤4例,皮质腺癌3例,髓样脂肪瘤3例,节细胞神经瘤3例,恶性嗜铬细胞瘤2例,神经母细胞瘤2例,嗜酸细胞瘤、淋巴瘤、腹膜后毛细血管瘤、纤维瘤病各1例.术前明确诊断仅6例.肿瘤完整切除18例,部分切除3例.联合脏器切除3例.结论:肾上腺区少见肿瘤术前诊断困难,治疗仍以手术为主.
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