부신의 기능성종양 및 비기능성 부신피질선종을 제외한 부신 양성종양에 대한 임상적 고찰

• 영문명: Surgical Approach of the Rare Benign Adrenal Tumor
• 발행기관: 대한내분비외과학회
• 저자명: 김성훈 이준호 김지수 최준호 남석진 이정언 김석원 길원호 김정한 Sung Hun Kim Jun Ho Lee Jee Soo Kim Jun-Ho Choi Seok-Jin Nam Jeong-Eon Lee Seok Won Kim Won Ho Kil Jung-Han Kim
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』14권4호, 228~234쪽, 전체 7쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2014.12.30

영문 초록

Purpose: Benign adrenal tumors other than hyper-functioning tumor and non-functioning cortical adenoma are extremely rare. The purpose of this study is to review the clinical features of these rare benign adrenal tumors and to analyze their prevalence and the proper surgical approach for them. Methods: Among patients who underwent adrenalectomy in Samsung Medical Center, between 1997 and 2013, patients with benign adrenal tumor except non-functioning cortical adenoma, malignancy, and hyper-functioning tumor such as pheochromocytoma, aldosteronoma, and cortisol producing tumor were included. Clinical details, radiologic findings and pathologic findings as well as data associated with the surgical procedure were analyzed retrospectively. Results: The percentage of these tumors among 703 surgically removed adrenal tumors was 10.7% (75 cases). They included 30 adrenal cysts, 18 ganglioneuromas, 11 myelolipomas, seven schwannomas, and the other six were rare adrenal tumors. Approximately 40% of the patients were operated under a diagnosis different from original tumors. Operation time and hospital stay of patients who underwent laparoscopic adrenalectomy were shorter than those of patients who underwent open adrenalectomy. Conclusion: These benign adrenal tumors are very rare and difficult to diagnose preoperatively. For the surgical treatment of these tumors, laparoscopic adrenalectomy is more preferable to conventional open adrenalectomy.

키워드

부신 희귀 양성종양, 부신낭종, 신경절신경종, 골수지방종, 신경수초종,Rare benign adrenal tumor, Adrenal cyst, Ganglioneuroma, Myelolipoma, Schwannoma