Thomas Arun Z, Blute Michael L, Seitz Christian, Habra Mouhammed Amir, Karam Jose A
Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Department of Urology, Massachusetts General Hospital, Boston, MA, USA.
Eur Urol Focus. 2016 Feb;1(3):223-230. doi: 10.1016/j.euf.2015.12.006. Epub 2016 Feb 3.
Incidentally discovered adrenal masses are becoming more common in clinical practice.
To review the management of the incidental adrenal mass, including initial evaluation, surveillance, medical therapy, and surgical therapy.
A literature search of English-language publications that included the keywords adrenal incidentaloma and incidental adrenal mass was performed through July 2015 using PubMed. Relevant original articles and guidelines on the management of the incidental adrenal mass were ultimately selected for analysis, with the consensus of all authors.
Data from the manuscripts included in this review were synthesized, and findings were categorized into metabolic evaluation, imaging, biopsy, surgical considerations, and follow-up recommendations.
Ideally, management of patients with adrenal incidentalomas should involve a multidisciplinary approach with experienced surgeons, radiologists, and endocrinologists to determine whether such lesions are benign or malignant and functional or nonfunctional and/or whether they require surgical resection.
Management of patients with adrenal incidentalomas should involve a multidisciplinary approach with surgeons, radiologists, and endocrinologists to determine whether such lesions are benign or malignant and functional or nonfunctional and/or whether they require surgical resection.
在临床实践中，偶然发现的肾上腺肿块越来越常见。
回顾偶然肾上腺肿块的处理方法，包括初始评估、监测、药物治疗和手术治疗。
截至2015年7月，通过PubMed对包括关键词肾上腺偶发瘤和偶然肾上腺肿块的英文出版物进行文献检索。最终，在所有作者达成共识的情况下，选择了关于偶然肾上腺肿块处理的相关原始文章和指南进行分析。
对本综述中纳入的手稿数据进行综合，并将研究结果分为代谢评估、影像学、活检、手术考量和随访建议。
理想情况下，肾上腺偶发瘤患者的处理应采用多学科方法，由经验丰富的外科医生、放射科医生和内分泌科医生共同确定这些病变是良性还是恶性、有功能还是无功能，以及是否需要手术切除。
肾上腺偶发瘤患者的处理应采用多学科方法，由外科医生、放射科医生和内分泌科医生共同确定这些病变是良性还是恶性、有功能还是无功能，以及是否需要手术切除。
