Menzel J, Klempa I, Baca I, Encke A
Allgemein-Chirurgischen Klinik, Universitätsklinik Frankfurt am Main,BRD.
Acta Med Austriaca. 1988;15(4):112-5.
109 cases of surgery on the adrenal glands are reported. 8 cases (7.3%) were reoperated because of relapse. This was Cushing's disease in 5 cases, malignant neuroblastoma in 2 cases and benign pheochromocytoma in 1 case. Only the latter and 1 with Cushing's disease were cured. Reoperation revealed carcinoma in 3 cases of Cushing's disease, though microscopic examination did not show malignancy in the specimen taken at the first operation. In another case microscopic examination again failed to show malignancy, but the patient died from her metastases. 2 cases of malignant neuroblastoma were reoperated for palliation.
报告了109例肾上腺手术病例。8例（7.3%）因复发而接受再次手术。其中5例为库欣病，2例为恶性神经母细胞瘤，1例为良性嗜铬细胞瘤。仅后1例良性嗜铬细胞瘤和1例库欣病患者治愈。再次手术发现3例库欣病患者存在癌变，尽管首次手术所取标本的显微镜检查未显示恶性。另一例患者显微镜检查再次未显示恶性，但患者死于转移。2例恶性神经母细胞瘤患者接受再次手术以缓解症状。
