Mikami I, Yamamoto M, Nishimura H, Koizumi K, Gomibuchi M, Tanaka S
Department of Thoracic Surgery, Saitama Cancer Center, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Oct;45(10):1733-7.
Preoperative CT and Ultrasonography (US) showed adrenal tumors in four patients with lung cancer. Although metastasis of the cancer to the adrenal gland was suspected, a definitive diagnosis could not be made by CT and US alone. MRI is as ineffective as CT and US. Needle biopsy is useful if tumor cells are detected, but not unless they are discovered. Surgery, therefore, is necessary to establish the final diagnosis. (Adrenalectomy was performed on all cases, one of which had metastasis). No particular complications occurred after adrenalectomy. Adrenalectomy was considered unavoidable to determine stage and treatment policies in patients suspected of metastasis in imaging diagnosis.
术前CT和超声检查（US）显示4例肺癌患者存在肾上腺肿瘤。尽管怀疑癌症已转移至肾上腺，但仅通过CT和US无法做出明确诊断。MRI与CT和US一样无效。如果检测到肿瘤细胞，针吸活检是有用的，但除非发现肿瘤细胞否则活检无用。因此，有必要通过手术来确立最终诊断。（所有病例均进行了肾上腺切除术，其中1例有转移）。肾上腺切除术后未发生特殊并发症。在影像诊断怀疑有转移的患者中，肾上腺切除术被认为对于确定分期和治疗策略是不可避免的。
