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本文报告肾上腺皮质癌8例,腺瘤20例。临床与病理资料分析表明,中年女性、单个、左侧肾上腺皮质肿块,瘤体较小,切片中泡沫细胞为主者,以腺瘤多见。50岁以上,瘤体较大,切片中致密细胞增多,有包膜、血管浸润,出血坏死、细胞多形、巨核细胞、排列紊乱、核分裂活跃者,要考虑肾上腺皮质腺癌。组织形态与临床资料密切结合方可提高肾上腺皮质肿瘤诊断正确率。本文对文献作了较全面的复习。
This article reports 8 cases of adrenocortical carcinoma and 20 cases of adenoma. Clinical and pathological data analysis showed that in the middle-aged women, single, left adrenal cortical mass, the tumor body was small, foam cells were the main ones, and adenomas were more common. Over 50 years old, the tumor is larger, dense cells in the slice increase, capsule, vascular infiltration, hemorrhage and necrosis, cell polymorphism, megakaryocyte, disorderly arrangement, and active mitoses. Adrenocortical adenocarcinoma should be considered. The close combination of tissue morphology and clinical data can improve the diagnostic accuracy of adrenal cortical tumors. This article makes a more comprehensive review of the literature.