Bacalbasa Nicolae, Terzea Dana, Jianu Valeria, Marcu Madalina, Stoica Claudia, Balescu Irina
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
monza Hospital, Bucharest, Romania.
Anticancer Res. 2015 Apr;35(4):2169-74.
Adrenocortical carcinomas are rare tumors in adults. They can be hormonally active and detected by a hormonal excess, or be non-secretory tumors. In the latter case, they become symptomatic after a long period of growth, usually after they have already invaded the surrounding tissues. In these cases, multiple visceral resections are sometimes required in order to obtain a complete R0 resection. We present the case of a 65-year-old patient who was addressed to our service for a giant abdominal tumor with compression phenomena in whom we performed a complete resection en bloc with left nephrectomy and adrenalectomy, distal pancreatectomy, splenectomy, left colectomy and para-aortic lymph node dissection. The early postoperative course was uneventful, the patient was discharged eight days after surgery. The histopathological findings revealed an adrenocortical carcinoma with no lymph node metastases.
肾上腺皮质癌在成人中是罕见肿瘤。它们可能具有激素活性，可通过激素过量检测到，或者是无分泌功能的肿瘤。在后一种情况下，它们在长时间生长后才出现症状，通常是在已经侵犯周围组织之后。在这些病例中，有时需要进行多次内脏切除术以实现完整的R0切除。我们报告一例65岁患者，因巨大腹部肿瘤伴压迫症状前来我院就诊，我们对其进行了包括左肾切除术和肾上腺切除术、远端胰腺切除术、脾切除术、左半结肠切除术及腹主动脉旁淋巴结清扫术的整块完整切除。术后早期过程顺利，患者术后8天出院。组织病理学检查结果显示为肾上腺皮质癌，无淋巴结转移。
