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目的:探讨肾上腺神经鞘瘤的诊治特点。方法:回顾性分析5例肾上腺神经鞘瘤患者的临床资料,结合文献分析其临床、影像学及病理特点,探讨其治疗及预后。结果:本组5例患者均为体检发现,其中3例曾感患侧腰部不适。入院体检均无特殊发现,与肾上腺有关的血生化检查均为正常。所有患者手术切除肾上腺肿物,术后病理检查证实为肾上腺神经鞘瘤,随访3个月~9年,未见复发或恶变。结论:肾上腺神经鞘瘤来源于肾上腺髓质,为良性肿瘤,较为少见,临床表现缺乏特异性,确诊依赖病理学及免疫组织化学检查。手术切除是主要治疗方法。
Objective: To investigate the diagnosis and treatment of adrenal schwannoma. Methods: The clinical data of 5 patients with adrenal schwannoma were retrospectively analyzed. The clinical, radiological and pathological features were analyzed based on the literature to explore the treatment and prognosis. Results: All the 5 patients in this group were examined by physical examination. Three of them had discomfort of the affected side of the waist. Admission examination were no special findings, and adrenal blood-related biochemical tests are normal. All patients underwent surgical resection of the adrenal gland, postoperative pathology confirmed adrenal schwannoma, followed up for 3 months to 9 years, no recurrence or malignancy. Conclusion: Adrenal schwannoma originated from adrenal medulla, which is a benign tumor. It is rare and its clinical manifestations are not specific. The diagnosis depends on pathology and immunohistochemistry. Surgical resection is the main treatment.