Cassan P, Baglin A, Coulbois J, Saigot T, Kuhn J M, Betourne C
Nouv Presse Med. 1978 Jun 17;7(24):2153-6.
In three of these four cases of malignant tumour of the adrenal cortex, a prolonged fever and a major inflammatory syndrome were the presenting features. The precise diagnosis was made before surgery only once. In two cases, it was a surgical discovery (one patient operated upon with a false diagnosis and another with no precise diagnosis). In the last case, the malignant tumour of the cortex was discovered at autopsy. The chief characteristics of these tumours are reviewed: rare ; presenting with chest pain, a mass in the hypochondrium, metastases, or general symptoms, possibly high and prolonged fever. The prognosis is gloomy, the majority of patients dying the six months which follow the operation.
在这4例肾上腺皮质恶性肿瘤病例中,有3例以长期发热和严重炎症综合征为首发症状。仅1例在手术前做出了准确诊断。2例是手术中发现的(1例患者术前诊断错误,另1例没有准确诊断)。最后1例是在尸检时发现皮质恶性肿瘤的。本文回顾了这些肿瘤的主要特征:罕见;表现为胸痛、季肋部肿块、转移或全身症状,可能伴有高热和长期发热。预后不佳,大多数患者在术后6个月内死亡。