Rybakov S I, Korotkin V N, Komissarenko I V, Teplyĭ V V
Klin Khir (1962). 1989(12):11-3.
The results of surgical treatment of 4 patients with bilateral tumors of the adrenal cortical substance are presented. In 1 patient, glucosteronoma was revealed, in 2--malignant glucoandrosteronoma, in 1--nonfunctioning cancer. The patients with functioning tumors were operated on in two stages with the interval of 3-4 weeks. In 1 patient, 3 years after removal of the left adrenal gland for cancer, a tumor of the contralateral gland was removed. In removing the nonfunctional tumors and aldosteronomas, the median laparotomy is expedient, in glucosteronomas and glucoandrosteronomas--extraperitoneal lumbotomic approach. All the patients are alive 1.5-8 years after the operation.
本文介绍了4例双侧肾上腺皮质肿瘤患者的手术治疗结果。其中1例为糖皮质激素瘤，2例为恶性糖雄甾酮瘤，1例为无功能癌。对有功能肿瘤的患者分两期手术，间隔3 - 4周。1例患者在因癌症切除左侧肾上腺3年后，又切除了对侧肾上腺的肿瘤。在切除无功能肿瘤和醛固酮瘤时，适宜采用正中剖腹术；在切除糖皮质激素瘤和糖雄甾酮瘤时，采用腹膜外腰切口入路。所有患者术后1.5至8年仍存活。
