Adrenal tumour bigger than 5 cm - what could it be? An analysis of 139 cases.
Adrenal tumour bigger than 5 cm - what could it be? An analysis of 139 cases.
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DOI：
10.5603/ep.a2017.0039
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发表时间：
2017
影响因子：
2.1
通讯作者：
A. Cichocki;R. Samsel;L. Papierska;K. Roszkowska-Purska;K. Nowak;Z. Jodkiewicz;A. Kasperlik-Załuska
中科院分区：
文献类型：
--
作者：
A. Cichocki;R. Samsel;L. Papierska;K. Roszkowska-Purska;K. Nowak;Z. Jodkiewicz;A. Kasperlik-Załuska
前言：越来越多的肾上腺肿瘤是在许多不同适应症的影像检查中偶然发现的。放射学结果提示肾上腺病理可能由真性肾上腺肿瘤或其他腹膜后肿块引起。一般来说，肿瘤越大，患肾上腺癌的可能性就越高。材料和方法对我们的资料进行分析--在11年(2004-2014)期间，对肾上腺肿瘤大于5厘米的患者进行了139次手术。结果肾上腺癌占25.2%，良性腺瘤占24.5%，嗜铬细胞瘤占12.9%，转移癌占10.1%。本组共有19例不同的组织病理学诊断。结论虽然肾上腺癌是最有可能诊断的大型肾上腺肿瘤，但在这类患者中也可发现各种大小大于5 cm的肾上腺肿瘤和腹膜后肿瘤。
INTRODUCTION There is an increasing number of adrenal being tumours discovered incidentally during imaging examinations performed for many different indications. Radiological findings suggesting adrenal pathology may be caused by true adrenal tumours or by other retroperitoneal masses. Generally, the larger the tumour, the higher the possibility of adrenal cancer. MATERIAL AND METHODS Analysis of our data - 139 operations performed over 11 years (2004-2014) in patients with tumours in the adrenal area larger than 5 cm. RESULTS The most common finding was adrenal cancer (25.2%), benign adenoma (24.5%), pheochromocytoma (12.9%), and metastatic cancer (10.1%). In total, there were 19 various histopathological diagnoses in this group. CONCLUSION Although adrenal cancer is the most likely diagnosis in large adrenal tumours, a broad spectrum of various adrenal and retroperitoneal tumours with size more than 5 cm can be found in such patients.