Munver Ravi, Fromer Debra L, Watson Richard A, Sawczuk Ihor S
Department of Urology, Hackensack University Medical Center, 20 Prospect Avenue, Suite 703, Hackensack, NJ 07601, USA.
Curr Urol Rep. 2004 Feb;5(1):73-7. doi: 10.1007/s11934-004-0015-9.
The increased use of abdominal ultrasonography, computed tomography, and magnetic resonance imaging has led to the classification of adrenal lesions termed the incidentally identified adrenal mass or adrenal incidentaloma. Unlike for the large, clinically, or biochemically symptomatic adrenal mass, the evaluation of patients with small, asymptomatic, or nonfunctional adrenal lesions remains controversial. The evaluation of these adrenal incidentalomas presents a challenge to endocrinologists, radiologists, and urologic surgeons alike. A multidisciplinary approach with biochemical screening and radiologic evaluation is essential to assess the nature and function of these lesions. Furthermore, it is of great importance to identify patients who are morbidly affected by hormonal hypersecretion or malignant potential. This article describes the emerging guidelines for the evaluation of the incidental adrenal mass.
腹部超声、计算机断层扫描和磁共振成像的使用增加，导致了肾上腺病变的分类，即偶然发现的肾上腺肿块或肾上腺偶发瘤。与大型、有临床或生化症状的肾上腺肿块不同，对小型、无症状或无功能肾上腺病变患者的评估仍存在争议。对这些肾上腺偶发瘤的评估给内分泌学家、放射科医生和泌尿外科医生都带来了挑战。采用生化筛查和放射学评估的多学科方法对于评估这些病变的性质和功能至关重要。此外，识别受激素分泌过多或恶性潜能严重影响的患者非常重要。本文介绍了评估肾上腺偶发肿块的最新指南。
