Haab F, Gattegno B, Duclos J M, Tchala K, Lagrange L, Ouakil E, Lukacs B, Thibault P
Service d'Urologie, Hôpital Tenon, Paris.
Prog Urol. 1991 Oct;1(5):889-93.
Systematic histological examination of 119 operative specimens of radical nephrectomies performed for renal cell carcinoma revealed adrenal invasion in 6 cases (5.04%). Preoperative computed tomography visualised the adrenal lesions with a sensitivity of 100%. Adrenal involvement was due to either contiguous invasion (3 cases) or metastatic spread (3 cases). Other visceral or lymph node metastases were detected in every case. The mean survival of patients with an adrenal lesion was 16.5 months. These data and those reported in the literature suggest the value of systematic adrenalectomy as part of radical nephrectomy.
对119例因肾细胞癌行根治性肾切除术的手术标本进行系统组织学检查发现，6例（5.04%）存在肾上腺侵犯。术前计算机断层扫描对肾上腺病变的可视化敏感性为100%。肾上腺受累是由于直接侵犯（3例）或转移扩散（3例）。所有病例均检测到其他内脏或淋巴结转移。肾上腺有病变患者的平均生存期为16.5个月。这些数据以及文献报道的数据表明，系统性肾上腺切除术作为根治性肾切除术一部分的价值。
