目的：提高肾上腺皮质肿瘤的诊治水平。
Objective:To improve diagnosis and treatment of adrenocortical tumor.
目的探讨儿童肾上腺皮质肿瘤的特点、诊治方法及预后。
Objective To discuss the characteristics, diagnosis, treatment and prognosis of adrenocortical tumor in children.
肾上腺癌(肾上腺皮质癌)是一种罕见的癌症，一般诊断出患有肾上腺癌的时候肿瘤的体积已经很大。
Adrenal gland cancers (adrenal cortical cancer) are rare tumors that are usually very large at the time of diagnosis.
显微镜下，右侧的肾上腺皮质腺瘤类似正常的肾上腺束状带，左边为包膜。肿瘤细胞具有一定的异型性。
Microscopically, the adrenal cortical adenoma at the right resembles normal adrenal fasciculata. The capsule is at the left. There may be some cellular pleomorphism.
肾上腺皮质癌高倍镜图像显示，肿瘤和正常的肾上腺皮质非常相似。
This high power microscopic appearance of an adrenal cortical carcinoma demonstrates that the neoplasm closely resembles normal adrenal cortex.
熟悉肾上腺皮质增生和肿瘤的临床病理特点。
To be familiar with pathologic and clinical features of adrenal cortical hyperplasia and tumors.
其他肿瘤产生的促肾上腺皮质激素，如某种形式的癌症肺癌。
Other tumours which produce ACTH, such as certain forms of cancer of the lung.
结果102例患者中，术后病理证实94例为肾上腺肿瘤，3例为肾上腺囊肿，2例为肾上腺皮质增生，2例为肾上极肿瘤，1例为副脾。
ResultsAmong the 102 cases, 94 cases were with adrenal tumors, 3 with adrenal cyst, 2 with adrenal hyperplasia, 2 with renal tumor and with accessory spleen.
结果：本例肾上腺皮质癌患者经后腹腔镜将肿瘤完整切除，临床症状缓解，随访半年，无复发。
Results: the tumor has been completely removed by laparoscopy for the carcinoma patient who showed improved symptoms after the surgery and no recurrence after half a year follow - up.
术后2年无瘤生存4例。结论早期发现、早期手术及完整切除肿瘤是提高儿童肾上腺皮质癌生存率的关键。
The 2 year survival is 4 out of 6. Conclusions Early diagnosis and complete tumor resection is the only means to achieve good survival in children with adrenocortical carcinoma.
术后2年无瘤生存4例。结论早期发现、早期手术及完整切除肿瘤是提高儿童肾上腺皮质癌生存率的关键。
The 2 year survival is 4 out of 6. Conclusions Early diagnosis and complete tumor resection is the only means to achieve good survival in children with adrenocortical carcinoma.
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