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目的:探讨肾上腺区原发交界性黏液囊腺瘤的临床特点及诊治方法。方法:分析肾上腺区原发交界性黏液囊腺瘤患者的临床资料,临床表现为右腰腹部包块伴胀痛不适,CT发现右肾上腺区边界清楚的约17cm×12cm×16cm肿物,行肿瘤切除术,并结合文献复习讨论。结果:术中探查见右肾上腺区域肿瘤,病理诊断腹膜后原发交界性黏液囊腺瘤伴钙化。术后随访3年,恢复良好,未见肿瘤复发。结论:原发性腹膜后交界性黏液囊腺瘤临床上罕见,表现为腹部或盆腔包块,肾上腺区域少见,术前诊断困难。手术切除肿瘤为首选治疗。
Objective: To investigate the clinical features, diagnosis and treatment of primary borderline mucinous adenoma in the adrenal gland. Methods: The clinical data of patients with primary borderline mucinous adenoma of the adrenal gland were analyzed. The clinical manifestations of the right lumbar abdomen massacre with discomfort and pain were as follows: the tumor was found on the border of the right adrenal gland with a clear size of 17cm × 12cm × 16cm Resection, combined with the literature review and discussion. Results: Intraoperative exploration to see the right adrenal area tumors, pathological diagnosis of retroperitoneal borderline mucinous cystadenoma with calcification. After 3 years of follow-up, good recovery, no tumor recurrence. CONCLUSION: Primary retroperitoneal mucinous cystadenoma is clinically rare, with abdominal or pelvic masses. The adrenal region is rare and preoperative diagnosis is difficult. Surgical resection of the tumor is the preferred treatment.