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偶然发现的肾上腺不确定肿块的无创评估。

Non-invasive evaluation of the incidentally detected indeterminate adrenal mass.

作者信息

Al-Hawary Mahmoud M, Francis Isaac R, Korobkin Melvyn

机构信息

Department of Radiology, University of Michigan Hospitals, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0030, USA.

出版信息

Best Pract Res Clin Endocrinol Metab. 2005 Jun;19(2):277-92. doi: 10.1016/j.beem.2004.09.002.

Abstract

Clinically silent adrenal masses are discovered incidentally during diagnostic testing or treatment for clinical conditions that are not related to suspicion of adrenal disease; thus, they are commonly referred to as 'incidentalomas'. The widespread use of high-resolution anatomic imaging techniques such as computed tomography (CT) and magnetic resonance (MR) imaging has led to the increased detection of these masses. In many patients without a known extra-adrenal primary malignancy--and even in patients with a primary neoplasm--most adrenal masses ultimately prove to be benign. However, it remains important that these adrenal masses are accurately characterized to exclude the treatable causes of adrenal disease, and also to accurately stage the oncology patient. The purpose of this chapter is to describe the findings and recent advances in non-invasive imaging methods that are now available for the accurate characterization of incidentally detected adrenal masses (i.e. the differentiation of benign from malignant masses). The imaging techniques and the algorithms that are used in our institution for the evaluation of incidentally detected adrenal mass will be described.

摘要

临床无症状肾上腺肿块是在针对与肾上腺疾病疑似无关的临床病症进行诊断检查或治疗期间偶然发现的;因此,它们通常被称为“偶发瘤”。计算机断层扫描(CT)和磁共振(MR)成像等高分辨率解剖成像技术的广泛应用导致了这些肿块的检出率增加。在许多无已知肾上腺外原发性恶性肿瘤的患者中——甚至在患有原发性肿瘤的患者中——大多数肾上腺肿块最终被证明是良性的。然而,准确鉴别这些肾上腺肿块以排除可治疗的肾上腺疾病病因,并准确对肿瘤患者进行分期仍然很重要。本章的目的是描述目前可用于准确鉴别偶然发现的肾上腺肿块(即区分良性与恶性肿块)的非侵入性成像方法的研究结果和最新进展。将描述我们机构用于评估偶然发现的肾上腺肿块的成像技术和算法。

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