Duclos J M
Service d'Urologie, Hôpital Saint-Joseph, Paris.
Prog Urol. 1992 Aug-Sep;2(4):653-9.
An incidentaloma is defined by the exclusion of other lesions, primarily phaeochromocytomas, by means of MRI and metanephrine and normetanephrine assays, followed by other secreting tumours by means of clinical examination and limited laboratory assays (potassium, cortisol, aldosterone). Tumours which need to be operated because of the risk of (malignant) adrenal cortical tumour can be distinguished from radiological adrenal anomalies which simply need to be monitored on the basis of the initial size of the lesion or its rate of growth on repeated CT scans.
偶发瘤的定义是通过MRI以及甲氧基肾上腺素和去甲氧基肾上腺素检测排除其他病变,主要是嗜铬细胞瘤,然后通过临床检查和有限的实验室检测(钾、皮质醇、醛固酮)排除其他分泌性肿瘤。因(恶性)肾上腺皮质肿瘤风险而需要手术的肿瘤,可与仅需根据病变初始大小或重复CT扫描时的生长速度进行监测的放射学肾上腺异常区分开来。