CAJ | 학술논문

目的提高肾上腺髓样脂肪瘤的诊治水平.方法回顾性分析15例肾上髓样脂肪瘤患者的临床特点与随诊结果 .11例有腰腹部酸痛,其中3例合并高血压,4例无自觉症状.诊断主要依靠B超、CT和MRI.结果 15例均经手术切除.随访6个月至7年,无肿瘤复发.结论肾上腺髓样脂肪瘤诊断依靠B超、CT、MRI,确诊需经病理检查证实.症状明显或瘤体直径>3.5 cm者应尽早手术.
목적 제고신상선수양지방류적진치수평.방법 회고성분석15례신상수양지방류환자적림상특점여수진결과 .11례유요복부산통,기중3례합병고혈압,4례무자각증상.진단주요의고B초、CT화MRI.결과 15례균경수술절제.수방6개월지7년,무종류복발.결론 신상선수양지방류진단의고B초、CT、MRI,학진수경병리검사증실.증상명현혹류체직경>3.5 cm자응진조수술.
Objective To improve the diagnosis and treatment of adrenal myelolipoma. Methods Accord-ing to the clinical characteristics and follow-up outcomes,Adrenal myelolipoma 15 patients confirmed by operation and pathology were retrospectively analysed. Of the 15 patients, 11 presented with abdominal or flank pain, of which 3 presented with hypertention,4 presented no symptom. The diagnosis could be made with the aid of ultrasonography,CT and MRI. Results 15 patients underwent surgery, postoperative followed up from 6 months to 7 years, no reccurrence ever noted. Conclusions The diagnosis of adrenal myelolipoma could he established hased on B-US,CT or MRI. The final diagnosis depends on pathology. The operation should be performed as soon as possible if the symptom is severe or the size of tumor is lager than 3.5cm in diameter.