The clinical and pathologic featurfs of “non-hormonal” adrenocortical tumors.Report of twenty new cases and review of the literature

摘要: The clinicopathologic features of 178 patients with “non-hormonal” or “nonfunctioning” adrenocortical tumors are presented. Such usually affect in the 5th, 6th, and 7th decades occur males twice as often females. prognosis is poor, most succumbing during 1st year after diagnosis. helpful radiographic diagnostic test intravenous pyelogram, although arteriography pre-sacral air insuffiation may also aid Lymphangiography was found to be value assessing lymph nodes treatment at subsequent followup examination. No reliable, definite indication functional metastatic potential these can made from histopathologic examination; all should viewed malignant. capable forming precursor steroids without hormonal activity. Hence they not fact “non-functioning.” Their primarily surgical, but postoperative radiotherapy administered if there residual tumor. All chemotherapeutic agents relatively ineffective some form combination chemotherapy beneficial.