Sa Ying-long, Xu Yue-min, Qiao Yong, Jin Cong-rui, Si Jie-min
Department of Urology, Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China.
Zhonghua Wai Ke Za Zhi. 2004 Dec 7;42(23):1444-6.
To evaluate the diagnosis and management of adrenal myelolipoma.
The clinical data of 26 cases were analyzed retrospectively and the selected articles were reviewed. There were no specific clinical symptom and endocrine abnormality, except increasing catecholamine in 2 cases. All cases but two were diagnosed by B-model ultrasound scanning (B-US), CT or magnetic resonance imaging (MRI).
Twenty-six cases were surgically treated, the diameter of the tumor was 5 - 10 cm, simple tumor resection was performed in 16 cases, and complete adrenal resection was performed in 10 cases. All the operated cases were proved by pathologists. The duration of follow-up was from 6 - 28 months after surgery. No recurrence was observed.
The diagnosis of adrenal myelolipoma could be established based on B-US, CT or MRI. The tumors whose diameter is larger than 5 cm in size should be removed.
评估肾上腺髓质脂肪瘤的诊断与处理。
回顾性分析26例患者的临床资料，并复习相关文献。除2例儿茶酚胺升高外，无特异性临床症状及内分泌异常。除2例患者外，其余均通过B型超声扫描（B-US）、CT或磁共振成像（MRI）确诊。
26例患者均接受手术治疗，肿瘤直径5～10 cm，16例行单纯肿瘤切除术，10例行肾上腺全切术。所有手术病例均经病理证实。术后随访6～28个月，均无复发。
肾上腺髓质脂肪瘤可通过B-US、CT或MRI确诊。直径大于5 cm的肿瘤应予以切除。
