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目的探讨肾上腺罕见肿瘤的临床表现和治疗方法。方法回顾性分析7例肾上腺罕见肿瘤患者的临床资料并复习有关文献。结果7例罕见肾上腺肿瘤中肾上腺神经节瘤2例、神经鞘瘤1例、平滑肌瘤2例、平滑肌肉瘤1例、畸胎瘤1例。2例有腰背部胀痛症状,5例无明显临床症状。开放手术4例,经后腹腔镜手术3例。结论对于罕见肾上腺肿瘤,术后病理报告为良性者可定期随访;术后病理报告为恶性肿瘤者应根据肿瘤性质采用相应治疗方案。
Objective To investigate the clinical manifestations and treatment of rare adrenal tumors. Methods We retrospectively analyzed the clinical data of 7 patients with rare adrenal tumors and reviewed the literature. Results There were 2 adrenal ganglionomas, 1 schwannomas, 2 leiomyomas, 1 leiomyosarcoma, and 1 teratoma in 7 rare adrenal tumors. Two patients had low back pain and 5 patients had no clinical symptoms. Open surgery in 4 cases, after laparoscopic surgery in 3 cases. Conclusions For rare adrenal tumors, patients with pathological reports of benign disease can be followed up regularly. Patients with pathological reports of malignant tumors should be treated according to the nature of the tumor.