肾上腺皮质癌的诊断与治疗（Diagnosis and treatment of adrenal cortical carcinoma）.doc

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肾上腺皮质癌的诊断与治疗（Diagnosis and treatment of adrenal cortical carcinoma）.doc

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肾上腺皮质癌的诊断与治疗（Diagnosis and treatment of adrenal cortical carcinoma）

肾上腺皮质癌的诊断与治疗（Diagnosis and treatment of adrenal cortical carcinoma） Diagnosis and treatment of adrenal cortical carcinoma Update Date: 12-07 #e# [Key words] adrenal gland Abstract: Objective: To investigate the diagnosis and treatment of adrenal cortical carcinoma. Methods: the clinical data of 19 patients with adrenal cortical carcinoma were retrospectively analyzed. 19 cases of this group were examined by B-ultrasound (19 cases), CT (17 cases) and IVP (6 cases). All cases were treated by operation and proved by pathology. Results: 16 cases were diagnosed before operation, and 3 cases were not diagnosed. The diagnostic rates of B ultrasound and CT were 68.4% (13/19) and 76.5% (13/17), respectively. The average survival time was 31.3 months, the 3 year survival rate was 15.8% (3/19), and the 5 year survival rate was 11.8% (2/17). Conclusion: adrenal cortical carcinoma has a high degree of malignancy. Imaging is the key to the diagnosis. Early detection of radical resection is the only effective way to improve the survival rate. Keywords: adrenal cortical neoplasms; diagnosis; surgical procedures Diagnosis, and, Management, of, Adrenocortical, Carcinoma Abstract:Objective:To discuss the diagnosis and treatment of adrenocortical cinomas. Methods:19 cases of adrenocortical carcinoma were reviewed B-US (19cases), CT (17cases) and IVP (6cases) estimations had been conducted before operation, All cases were treated by surgery and proven by pathology. Result:Accuracy rate of diagnosis by BUS and CT was (13/19) and 76.5% (68.4% 13/17 respectively. The mean survival duration), was 31.3 months, The 3- year survival rate was 15.8% (3/19), 5-year survival rate was 11.8% (2/17). Conclusion:Adrenocortical carcinoma is a lethal malignancy, Radiologic evaluation is the key way.Earlier detection and complete initial surgical resection may be the best treatment at present. Key, words:, Adrenocortical, carcinama; Diagnosis; Surgical operation Adrenal cortical carcinoma is a rare malig