巨大肾上腺皮质癌合并肾静脉及下腔静脉血栓形成。病例报告及文献复习。
Giant adrenal carcinoma associated with renal vein and inferior vena cava thrombus. Case report and literature review.
作者信息
Garrido Abad P, Gómez de Vicente J M, Herranz Fernández L M, Jiménez Gálvez M, Santos Arrontes D, Suárez Fonseca C, Fernández Arjona M
机构信息
Urology Department, Henares Hospital, Coslada, Spain.
出版信息
Arch Esp Urol. 2012 Jun;65(5):570-4.
OBJECTIVE
To present a case of giant adrenal carcinoma associated with renal vein and inferior vena cava (IVC) thrombus. Up to now, there is no similar case reported in the national literature.
METHODS
75 year old woman with signs of virilization. CT-scan showed an 18 cm adrenal mass with venous thrombus and possible pulmonary metastases. The working diagnosis was primary suprarenal carcinoma.
RESULT
Due to elderly age and advanced stage, including metastasis, we decided to not perform surgery, and initiate chemotherapy.
CONCLUSIONS
Adrenal Cancer is an infrequent and very aggressive tumor. Surgery is the only curative treatment. In advanced stages chemotherapy is recommended, but with poor results.
目的
介绍一例伴有肾静脉和下腔静脉血栓形成的巨大肾上腺癌病例。截至目前，国内文献尚无类似病例报道。
方法
一名75岁有男性化体征的女性。CT扫描显示一个18厘米的肾上腺肿块伴有静脉血栓形成及可能的肺转移。初步诊断为原发性肾上腺癌。
结果
鉴于患者年龄较大且处于晚期，包括已有转移，我们决定不进行手术，而是开始化疗。
结论
肾上腺癌是一种罕见且侵袭性很强的肿瘤。手术是唯一的治愈性治疗方法。在晚期推荐进行化疗，但效果不佳。
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