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[肾上腺偶发瘤。第1部分。肾上腺偶发瘤的计算机断层扫描:鉴别诊断的可能性与困难]

[Adrenal incidentaloma. Part 1. Computed tomography of adrenal incidentaloma: the possibilities and difficulties of differential diagnosis].

作者信息

Buryakina S A, Tarbaeva N V, Volevodz N N, Karmazanovsky G G, Kovalevich L D, Shestakova M V, Dedov I I

机构信息

Endocrinology Research Centre.

Vishnevsky National Medical Research Centre of Surgery.

出版信息

Ter Arkh. 2020 Dec 15;92(12):185-194. doi: 10.26442/00403660.2020.12.200451.

Abstract

The adrenal incidentaloma is a lesion of a different etiology and found incidentally in patients who underwent a diagnostic study not about the disease of this organ. Lesions can be both hormonally inactive and hormonally active, can arise from different zones of the adrenal gland or have non-specific organ affiliation, can be benign or malignant. Computed tomography characterization of these lesions, especially the differential diagnosis of benign and malignant, is extremely important for the correct diagnosis in order to provide adequate management of the patient. The article presents the key computed tomography criteria that allow radiologist to characterize the lesion most accurately and consider appropriate diagnosis.

摘要

肾上腺偶发瘤是一种病因各异的病变,在接受非针对该器官疾病的诊断性检查的患者中偶然发现。病变既可以是无激素活性的,也可以是有激素活性的,可以起源于肾上腺的不同区域,或者具有非特异性的器官归属,既可以是良性的,也可以是恶性的。这些病变的计算机断层扫描特征,尤其是良恶性的鉴别诊断,对于正确诊断以提供患者的适当管理极为重要。本文介绍了关键的计算机断层扫描标准,使放射科医生能够最准确地描述病变并考虑适当的诊断。

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