Koloğlu S, Akyar S, Başkal N, Berk U
Department of Endocrinology and Metabolic Diseases and Radiology, Ankara University Medical School, Turkey.
Endocrinologie. 1988 Jul-Sep;26(3):173-8.
We identified as an incidental finding "silent adrenal tumors" in 12 patients undergoing abdominal computed tomography (CT) scanning for unrelated problems. Until recently, adrenal masses came to clinical attention either from local symptoms due to massive enlargement or from manifestations of excess hormone production. With CT, small adrenal glands and neoplasms could be also visualized and diagnosed at an earlier preclinical stage. Patients with asymptomatic adrenal masses detected by CT scan must be investigated for the possibility of metastasis from another primary site, secondly screened for hormone production and should be followed-up for malignant degeneration. The investigation did not show any sound criteria for the diagnosis of malignancy except the follow-up of the masses with serial CT scans in short intervals.
我们在12例因其他无关问题接受腹部计算机断层扫描（CT）的患者中意外发现了“无症状肾上腺肿瘤”。直到最近，肾上腺肿块才因体积巨大导致的局部症状或激素过度分泌的表现而引起临床关注。借助CT，较小的肾上腺和肿瘤也能够在临床前期更早阶段被发现并诊断。对于通过CT扫描检测出的无症状肾上腺肿块患者，必须调查其是否存在来自其他原发部位的转移可能性，其次要筛查激素分泌情况，并应对其进行恶性病变随访。除了短期内通过连续CT扫描对肿块进行随访外，该调查未显示出任何诊断恶性肿瘤的可靠标准。
