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大规模的非功能性上腺皮质癌呈现为没有破裂的急性腹部:一个病例报告
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
概括
急性腹部可以信号上腺皮质癌 (ACC),一种罕见的癌症,即使没有破裂. 对上腺瘤的早期手术干预提供了良好的结果和无疾病的生存.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 皮上腺癌 (ACC) 是一种罕见的内分泌恶性瘤,表现不同.
- 急性腹部是ACC的不寻常症状,通常与瘤破裂有关.
- 早期诊断和干预对于管理ACC至关重要.
研究的目的:
- 突出突出的急性腹部作为潜在的呈现腺皮质癌的症状.
- 强调在较大的上腺质量的情况下及时进行手术管理的重要性.
- 报告一个成功切除上腺巨型瘤以急性腹部形式的案例.
主要方法:
- 一个39岁的男性患有急性腹痛的病例报告.
- 诊断成像显示了大量的左上腺质量.
- 上腺瘤的手术内断切除,带有负边缘.
主要成果:
- 上皮层癌的组织病理学确认.
- 在没有破裂的情况下实现了完整的瘤切除.
- 在没有辅助治疗的情况下,患者在手术后36个月内保持无疾病.
结论:
- 急性腹部可以是上皮层癌的初始表现,无论瘤破裂.
- 对出现急性症状的上腺瘤进行迅速的手术干预,可以带来有利的瘤结果.
- 完全切除上腺恶性瘤,即使是大型瘤,也是可以实现的,并且与长期无病生存有关.
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