腎上腺血管淋巴管瘤8例診治分析并文獻復習

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ABSTRACT：ObjectiveTo investigate the clinicopathological characteristics and surgical outcomes of adrenal hemolymphangioma，so as to enhance the understanding of this disease.MethodsClinical and pathological data of 8 patients with adrenal hemolymphangioma admitted to the Department of Urology of our hospital during Jan.2013 and Dec.2022 were retrospectively analyzed，and relevant literature was reviewed.ResultsThe patients included 5 males and 3 female，median age 54（25-75） years.Adrenal hemolymphangioma was detected in all patients in physical examinations without obvious symptoms.And 4 of the patients had a history of hypertension.Adrenal function test results showed no abnormalities.A total of 9 tumors were identified by imaging examination，including 1 unilateral multiple and 7 unilateral solitary tumors，with a median diameter of 3.6（1.0-5.4） cm.Posterior laparoscopic adrenal tumor resection was performed in 7 cases and robot-assisted laparoscopic adrenal tumor resection in 1 case；all of the tumors were completely removed.The median operation time was 77（53-115） min，median intraoperative blood loss 7.5（2.0-20.0） mL，and median postoperative hospital stay 4（1-7） d.Postoperative pathology showed interwoven deformed and dilated blood vessels and lymphatic vessels in the cystic tumors，with a large amount of lymphoid fluid，lymphocytes and red blood cells.Chronic lymphocyte infiltration was visible between the tube walls.The cystic cavity was partially connected，with flat endothelial cells lining.The pathological diagnosis was adrenal hemolymphangioma.During the median follow-up of 53.5（12.0-106.8） months，all patients recovered well，with stable blood pressure and no tumor recurrence or metastasis.ConclusionAdrenal hemolymphangioma has no specific clinical symptoms.As adrenal functional tests show no obvious abnormalities，the diagnosis depends on pathological examinations.Popsterior laparoscopic or robot-assisted laparoscopic resection has good efficacy and prognosis.

摘要：

目的探討腎上腺血管淋巴管瘤的臨床病理特征和手術治療效果，為臨床認識該疾病提供參考。（剩余7669字）