Department of Radiology, Division of Nuclear Medicine, University of Michigan Medical Center, Ann Arbor, MI, USA.
Nat Rev Urol. 2009 Jul;6(7):363-73. doi: 10.1038/nrurol.2009.100. Epub 2009 Jun 9.
The incidental discovery of adrenal masses during modern diagnostic imaging is a common occurrence. These masses form part of a long differential diagnostic list; most often, they are benign adrenal adenomas, but their discovery requires a clinical evaluation that is sufficiently broad to exclude clinically silent endocrine disease, metastases to the adrenal gland in patients with suspected or known malignancies, and rare adrenocortical carcinomas. CT, MRI and nuclear medicine approaches have all been used to evaluate incidentally discovered adrenal masses. Each technology provides information that contributes to the noninvasive characterization of the majority of these neoplasms. Understanding of the modalities used to assess an unanticipated adrenal mass allows for more rapid diagnosis and cost avoidance in a condition that has been referred to as a 'disease' of modern imaging technology.
在现代诊断成像过程中偶然发现肾上腺肿块是很常见的。这些肿块构成了一个很长的鉴别诊断列表的一部分；它们通常是良性的肾上腺腺瘤，但发现它们需要进行足够广泛的临床评估，以排除临床上无症状的内分泌疾病、怀疑或已知恶性肿瘤患者肾上腺转移，以及罕见的肾上腺皮质癌。CT、MRI 和核医学方法都被用于评估偶然发现的肾上腺肿块。每种技术都提供了有助于对大多数这些肿瘤进行无创特征描述的信息。了解用于评估意外肾上腺肿块的方法，可以在这种被称为现代成像技术“疾病”的情况下，更快地进行诊断和避免成本。
