Mhiri M N, Bahloul A, Trifa M, Jmel S, Bouaziz M, Karoui A
Service d'Urologie, CHU H. Bourguiba, Sfax, Tunisie.
Ann Urol (Paris). 1996;30(5):217-24.
The authors report 20 cases of adrenal cortex tumours which were collected over a period of 12 years (1984-1995). Sixty five per cent of patients were females. They were aged between 27 months and 85 years with a mean of 40 years. Clinical symptoms were dominated by hypertension (11 cases). Seven cases were discovered incidentally and a precocious puberty syndrome presented in the form of 2 cases. Surgery was performed in 18 cases. Adrenalectomy was performed in 16 cases and tumor removal in 2 others. Four patients underwent other procedures such as nephrectomy or splenectomy. Three adrenal tumors were considered to be malignant. Postoperative follow-up was marked by two deaths; otherwise the postoperative course was uneventful.
作者报告了在12年(1984 - 1995年)期间收集的20例肾上腺皮质肿瘤病例。65%的患者为女性。年龄在27个月至85岁之间,平均年龄为40岁。临床症状以高血压为主(11例)。7例为偶然发现,2例表现为性早熟综合征。18例患者接受了手术。16例行肾上腺切除术,另外2例行肿瘤切除术。4例患者接受了其他手术,如肾切除术或脾切除术。3例肾上腺肿瘤被认为是恶性的。术后随访中有2例死亡;否则术后过程顺利。