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我院从1958年至1992年底收治的86000余例恶性肿瘤患者中,临床诊断肾上腺转移瘤80例。通过回顾性研究,对临床资料较完整的67例,共计83个肾上腺转移瘤分析结果显示:1.恶性肿瘤可经血行或直接转移至肾上腺,以血行转移为主;2.肾上腺转移瘤最常见的原发肿瘤是肺癌,占70%(47/67),特别是小细胞未分化肺癌,占40%(27/167)其次是恶性淋巴瘤占11.9%(8/67);3.发现肾上腺转移瘤多在原发肿瘤确诊后一年之内;4.肾上腺转移瘤的声像图表现以低回声为主占95.9%,强回声、等回声及近无回声共占4.1%;5.B型超声对肾上腺转移瘤的敏感性高达89%,定位准确率高,结合病史可作出明确诊断,是发现和诊断本病的首选方法。
Our hospital from 1958 to the end of 1992 admitted more than 86,000 cases of malignant tumor patients, 80 cases of adrenal metastases clinical diagnosis. Through retrospective study, the clinical data of more complete 67 cases, a total of 83 adrenal metastases analysis results show: 1. Malignant tumors can be transferred directly to the adrenal blood or blood to blood-based transfer; 2. The most common primary tumor of adrenal metastases is lung cancer, accounting for 70% (47/67), especially in small cell undifferentiated lung cancer, accounting for 40% (27/167) followed by malignant lymphoma (11.9%, 8 / 67); 3. Adrenal metastases were found in more than a year after the diagnosis of primary tumors; 4. Adrenal metastases showed hypoechoic mainly accounted for 95.9%, strong echo, equal echo and echo-free accounted for 4.1%; B-mode ultrasound on adrenal metastases up to 89% sensitivity, high positioning accuracy, combined with the history can make a clear diagnosis is the preferred method of detection and diagnosis of the disease.