Krajewska Ewa, Toutounchi Sadegh, Fiszer Patryk, Cieśla Witold, Pogorzelski Ryszard, Bednarczuk Tomasz, Cieszanowski Andrzej, Loń Izabela, Skórski Maciej
Department of General and Thoracic Surgery, Warsaw Medical University.
Pol Przegl Chir. 2012 Apr;84(4):208-13. doi: 10.2478/v10035-012-0034-z.
The study presented three cases of patients diagnosed with adrenal tumors subject to surgical intervention during the past 6 months in our Department. The patients presented with radiological diagnostic difficulties, as to the character and location of the primary tumor. The aim of the study was to demonstrate differences between radiological examination results and the factual situation observed during the adrenalectomy. In all the presented cases patients' were subject to laparoscopic intervention. In two cases conversion to open surgery was necessary. The histopathological results of the surgically removed samples were as follows: leiomyoma, myoperycytoma and pheochromocytoma. In selected cases imaging examinations might be of limited value, especially when determining the character and location of the primary lesion of the adrenal gland.
本研究展示了过去6个月内在我院接受手术干预的3例肾上腺肿瘤患者。这些患者在原发性肿瘤的特征和位置方面存在放射学诊断困难。本研究的目的是证明放射学检查结果与肾上腺切除术中观察到的实际情况之间的差异。在所有展示的病例中,患者均接受了腹腔镜干预。在2例病例中,有必要转为开放手术。手术切除样本的组织病理学结果如下:平滑肌瘤、肌周细胞瘤和嗜铬细胞瘤。在某些病例中,影像学检查的价值可能有限,尤其是在确定肾上腺原发性病变的特征和位置时。