Hevia Suárez M, Abascal Junquera J M, Boix P, Dieguez M, Delgado E, Abascal García J M, Abascal García R
Hospital Universitario Central de Asturias, Oviedo, España.
Actas Urol Esp. 2010 Jul;34(7):586-91.
Adrenal incidentaloma's prevalence is rising because of the big volume of radiologic explorations that we daily do. No comprehensive guidelines have been published by professional societies to guide the evaluation of patients with adrenal incidentalomas. All adrenal masses should be inspected for malignancy or hypersecreting disorders. In our point of view, adrenal surgery should be performed by the urologist, because it's the medical speciality which knows the best this anatomical region. The objective of this review is to present the main points that the urologist may know in the management of adrenal masses. Together with the department of Endocrinology of our hospital, we describe the main studies to perform in front of adrenal mass diagnosis and the current therapeutical diagram utilized in our center.
由于我们日常进行的大量放射学检查，肾上腺偶发瘤的患病率正在上升。专业学会尚未发布全面的指南来指导肾上腺偶发瘤患者的评估。所有肾上腺肿块都应检查是否存在恶性肿瘤或分泌亢进性疾病。在我们看来，肾上腺手术应由泌尿外科医生进行，因为泌尿外科是最了解该解剖区域的医学专业。本综述的目的是介绍泌尿外科医生在肾上腺肿块管理中可能需要了解的要点。我们与我院内分泌科一起，描述了肾上腺肿块诊断前应进行的主要检查以及我们中心目前使用的治疗方案。
