CAJ | 학술논문

目的探讨肾上腺畸胎瘤的特点、诊治方法及预后.方法回顾性分析2004年至2013年我院收治5例肾上腺畸胎瘤患者的临床资料.其中男2例,女3例.年龄35 ～64岁,中位年龄57岁.左侧3例、右侧2例.肿瘤最大径5.0～8.5 cm.常规查体发现2例,因乏力就诊发现2例,因腰疼就诊发现1例.5例患者内分泌检查均正常.超声检查示肾上腺区囊实性肿块,肿物为混杂回声.CT检查示肾上腺区不规则软组织密度肿物,其内密度欠均匀,可见钙化斑.MRI检查肾上腺不规则软组织信号肿块,其内可见多发长T1长T2信号.考虑肾上腺肿块伴囊变,神经节细胞瘤可能性大.结果 5例均行后腹腔镜下肾上腺切除术.肿块不规则,切面为灰褐色或灰白色,囊实性,囊液为黄色皮脂样物质或胶冻样物质,3例可见骨骼样物质.病理诊断为肾上腺成熟性畸胎瘤.随访3个月～9年,无复发及转移.结论肾上腺畸胎瘤临床罕见,临床表现缺乏特异性,腹腔镜手术治疗效果良好.
목적 탐토신상선기태류적특점、진치방법급예후.방법 회고성분석2004년지2013년아원수치5례신상선기태류환자적림상자료.기중남2례,녀3례.년령35 ～64세,중위년령57세.좌측3례、우측2례.종류최대경5.0～8.5 cm.상규사체발현2례,인핍력취진발현2례,인요동취진발현1례.5례환자내분비검사균정상.초성검사시신상선구낭실성종괴,종물위혼잡회성.CT검사시신상선구불규칙연조직밀도종물,기내밀도흠균균,가견개화반.MRI검사신상선불규칙연조직신호종괴,기내가견다발장T1장T2신호.고필신상선종괴반낭변,신경절세포류가능성대.결과 5례균행후복강경하신상선절제술.종괴불규칙,절면위회갈색혹회백색,낭실성,낭액위황색피지양물질혹효동양물질,3례가견골격양물질.병리진단위신상선성숙성기태류.수방3개월～9년,무복발급전이.결론 신상선기태류림상한견,림상표현결핍특이성,복강경수술치료효과량호.
Objective To discuss the feature,diagnosis and treatment,and proguosis of adrenal teratoma.Methods Clinical data of 5 patients with confirmed adrenal teratoma were retrospectively reviewed.There were 2 males and 3 females,with a median age of 57 years (35-64).The mean tumor size was 5-8.5 cm.The tumors were located on the right side in 3 cases and the left side in 2.Two cases were detected by routine health check up,and 2 were detected with the complains of fatigue and 1 with complains of back pain.All cases had normal value of endocrinology and biochemistry tests.Ultrasound examination showed cystic tumor on adrenal gland with uneven echo.CT showed irregular,inhomogeneous adrenal neoplasms in adrenal gland.The tumor presented as inhomogenous high signal intensity on MRI T1 and T2.Results Five patients underwent laparoscopic adrenalectomy,and histopathology showed adrenal mature teratoma.No recurrence occurred after operation in all patients.Conclusions These cases combined with literature review indicate that adrenal teratoma is extremely rare which has no characteristic clinical manifestations; and laparoscopic adrenalectomy is a feasible,effective technique with excellent results.