Aljabri Khalid S, Bokhari Samia A, Alkeraithi M
Department of Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
Ann Saudi Med. 2011 Jul-Aug;31(4):421-3. doi: 10.4103/0256-4947.76411.
Adrenal masses are being detected with increasing frequency due to the widespread use of computed tomography, magnetic resonance imaging and even ultrasonography for the evaluation of diseases with abdominal involvement. It is estimated that adrenal masses are an accidental finding in 1% to 5% of all abdominal CT scans performed. Adrenal hemangiomas are rare and nonfunctioning benign tumors and their differential diagnosis preoperatively is rather challenging. Adrenal hemangiomas are most usually cavernous, unilateral lesions of the adrenal glands; bilateral involvement has been reported twice, which appears between the ages 50 and 70 years, with a 2:1 female-to-male ratio. Approximately 60 surgical cases have been reported in the literature. In general, this tumor is large, and all cases reported were treated with open surgery or retroperitoneoscopic procedure. We report a case of a 19-year-old female patient with adrenal hemangioma that was removed by laparoscopic adrenalectomy.
由于计算机断层扫描、磁共振成像甚至超声检查在评估腹部受累疾病中的广泛应用,肾上腺肿块的检出频率越来越高。据估计,在所有进行的腹部CT扫描中,1%至5%的病例会意外发现肾上腺肿块。肾上腺血管瘤是罕见的无功能良性肿瘤,其术前鉴别诊断颇具挑战性。肾上腺血管瘤最常见的是肾上腺的海绵状、单侧病变;双侧受累曾有两次报道,发病年龄在50至70岁之间,女性与男性比例为2:1。文献中报道了约60例手术病例。一般来说,这种肿瘤体积较大,所有报道的病例均采用开放手术或后腹腔镜手术治疗。我们报告一例19岁女性肾上腺血管瘤患者,通过腹腔镜肾上腺切除术切除肿瘤。