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手辅助腹腔镜肾上腺切除术治疗肾上腺平滑肌瘤:一例报告

Adrenal leiomyoma treated by hand-assisted laparoscopic adrenalectomy: a case report.

作者信息

Chang Tu-Hao, Lee Yung-Chin, Liu Chia-Chu, Huang Chun-Hsiung, Wu Wen-Jeng

机构信息

Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

出版信息

Kaohsiung J Med Sci. 2006 Nov;22(11):575-9. doi: 10.1016/S1607-551X(09)70355-9.

Abstract

A left adrenal incidentaloma was found by abdominal ultrasound and computed tomography (CT) in a 53-year-old woman who had a history of non-insulin dependent diabetes mellitus. Abdominal CT showed a well-circumscribed adrenal mass (5.5 x 4.5 x 3.5 cm) with low density (32HU) on precontrast scan and heterogeneous enhancement on postcontrast scan. Laboratory examinations revealed a nonfunctional adrenal tumor. As the malignant potential of the tumor could not be ruled out, the patient underwent hand-assisted laparoscopic adrenalectomy. Postoperative recovery was uneventful, and pathologic examination revealed leiomyoma.

摘要

一名53岁有非胰岛素依赖型糖尿病病史的女性,通过腹部超声和计算机断层扫描(CT)发现左肾上腺偶发瘤。腹部CT显示一个边界清晰的肾上腺肿块(5.5×4.5×3.5厘米),增强扫描前密度较低(32HU),增强扫描后呈不均匀强化。实验室检查显示为无功能肾上腺肿瘤。由于不能排除肿瘤的恶性可能性,患者接受了手辅助腹腔镜肾上腺切除术。术后恢复顺利,病理检查显示为平滑肌瘤。

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本文引用的文献

1
Laparoscopic adrenalectomy for malignancy.腹腔镜肾上腺切除术治疗恶性肿瘤。
Am J Surg. 2005 Apr;189(4):405-11. doi: 10.1016/j.amjsurg.2005.01.021.
2
Adrenal incidentaloma.肾上腺偶发瘤
World J Surg. 2001 Jul;25(7):905-13. doi: 10.1007/s00268-001-0029-0.
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Symptomatic leiomyoma of the adrenal.肾上腺有症状的平滑肌瘤。
Clin Imaging. 1994 Oct-Dec;18(4):277-8. doi: 10.1016/0899-7071(94)90008-6.
10
Leiomyoma of the suprarenal gland in a child with ataxia-telangiectasia.
Pediatr Hematol Oncol. 1991 Jul-Sep;8(3):235-41. doi: 10.3109/08880019109033457.

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