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目的 提高儿童肾上腺皮质癌的诊断和治疗效果。 方法 回顾性分析 9例肾上腺皮质癌患儿资料。均为女性 ,左侧 5例 ,右侧 4例。 结果 行手术治疗 6例 ,其中姑息性切除 2例 ,肿瘤完整切除 4例 ;放弃治疗 1例 ,2例未及手术死于呼吸衰竭。手术 6例随访 3个月~ 5年 2个月 ,平均 2年 3个月。术后 2年无瘤生存 4例。 结论 早期发现、早期手术及完整切除肿瘤是提高儿童肾上腺皮质癌生存率的关键。
Objective To improve the diagnosis and treatment of adrenocortical cancer in children. Methods Retrospective analysis of 9 cases of adrenal cortical cancer in children. All were female, 5 on the left and 4 on the right. Results Surgical treatment of 6 cases, including palliative resection in 2 cases, complete resection of the tumor in 4 cases; give up treatment in 1 case, 2 patients died of respiratory failure without surgery. Six patients were followed up for 3 months to 5 years and 2 months, with an average of 2 years and 3 months. No tumor survived 2 years after operation in 4 cases. Conclusion Early detection of early surgery and complete resection of the tumor is the key to improve the survival rate of adrenocortical cancer in children.