Aydintuğ S, Koçak S, Eraslan S
Department of Surgery, Ankara University Medical School, Turkey.
Eur J Surg. 1996 Apr;162(4):275-8.
To report our eight year experience of the treatment of primary non-functioning adrenal tumours diagnosed incidentally by computed tomography or ultrasonography.
Open study.
University hospital, Turkey.
20 patients with primary non-functioning adrenal tumours that were diagnosed incidentally during the eight years 1986-93 and who were treated in our department.
All patients underwent detailed endocrine studies followed by unilateral adrenalectomy.
Morbidity, mortality, and outcome.
There were 18 women and 2 men, mean age 50 (range 24-67). No patient died and one developed a wound infection. Histopathological examination showed adrenocortical adenoma (n = 17), carcinoma (n = 2, one of which was a 57-year-old woman with a 35 mm tumour), and hyperplasia (n = 1).
Excision of non-functioning adrenal tumours is safe and we recommend it because there are no exclusion criteria for malignancy, and non-operative treatment has not been clearly defined.
报告我们对通过计算机断层扫描或超声检查偶然诊断出的原发性无功能肾上腺肿瘤进行治疗的八年经验。
开放性研究。
土耳其大学医院。
1986年至1993年这八年间在我们科室接受治疗的20例偶然诊断出的原发性无功能肾上腺肿瘤患者。
所有患者均接受详细的内分泌检查，随后进行单侧肾上腺切除术。
发病率、死亡率和治疗结果。
有18名女性和2名男性，平均年龄50岁（范围24 - 67岁）。无患者死亡，1例出现伤口感染。组织病理学检查显示肾上腺皮质腺瘤（n = 17）、癌（n = 2，其中1例为一名57岁女性，肿瘤大小为35 mm）和增生（n = 1）。
切除无功能肾上腺肿瘤是安全的，我们建议进行切除，因为不存在恶性肿瘤的排除标准，且非手术治疗尚未明确界定。
