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巨大な非機能性副腎皮質癌の腹腔鏡下切除術:急性腹症を呈した症例報告
Shady H Y B Girgis1, Ihab H Y Barsoum1,2, Shady Elia Anis3
1Urology Department, Air Force Specialized Hospital, Cairo, Egypt.
Urology case reports
|February 5, 2026
まとめ
急性腹症は、破裂を伴わない場合でも、まれな癌である副腎皮質癌(ACC)の兆候となる可能性があります。副腎腫瘍に対する早期の外科的介入は、良好な転帰および無病生存期間をもたらします。
科学分野:
- 内分泌学
- 腫瘍外科
- 腹部画像診断
背景:
- 副腎皮質癌(ACC)は、多様な提示を伴うまれな内分泌悪性腫瘍です。
- 急性腹症はACCのまれな症状であり、しばしば腫瘍の破裂と関連しています。
- 早期診断と介入は、ACCの管理にとって重要です。
研究 の 目的:
- 急性腹症を副腎皮質癌の潜在的な提示症状として強調すること。
- 大きな副腎腫瘍の症例における適時外科的管理の重要性を強調すること。
- 急性腹症を呈する巨大副腎腫瘍の根治的切除の症例を報告すること。
主な方法:
- 急性腹痛を呈した39歳男性の症例報告。
- 左副腎腫瘍を明らかにする診断画像。
- 副腎腫瘍の陰性断端を伴う根治的切除。
主要な成果:
- 副腎皮質癌の組織病理学的確認。
- 破裂を伴わない腫瘍の完全切除を達成。
- 術後36ヶ月間、補助療法なしで無病状態を維持。
結論:
- 急性腹症は、腫瘍の破裂に関係なく、副腎皮質癌の初期の現れとなる可能性があります。
- 急性症状を呈する副腎腫瘍に対する迅速な外科的介入は、良好な腫瘍学的転帰につながる可能性があります。
- 巨大なものであっても、副腎悪性腫瘍の完全切除は達成可能であり、長期の無病生存期間と関連しています。
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