偶发肾上腺结节。

Incidental Adrenal Nodules.

机构信息

Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

Department of Radiology, University of California, Davis, 4860 Y Street, Suite 3100, Sacramento, CA 95817, USA.

出版信息

Radiol Clin North Am. 2021 Jul;59(4):591-601. doi: 10.1016/j.rcl.2021.03.008.

DOI:10.1016/j.rcl.2021.03.008

PMID:34053607

Abstract

Incidentally detected adrenal nodules are common, and prevalence increases with patient age. Although most are benign, it is important for the radiologist to be able to accurately determine which nodules require further testing and which are safely left alone. The American College of Radiology incidental adrenal White Paper provides a structured algorithm based on expert consensus for management of incidental adrenal nodules. If further diagnostic testing is indicated, adrenal computed tomography is the most appropriate test in patients for nodules less than 4 cm. In addition to imaging, biochemical testing and endocrinology referral is warranted to exclude a functioning mass.

摘要

偶然发现的肾上腺结节很常见，且其发生率随患者年龄的增长而增加。虽然大多数都是良性的，但对于放射科医生来说，能够准确地确定哪些结节需要进一步检查，哪些可以安全地保留是很重要的。美国放射学院偶然发现的肾上腺白皮书提供了一个基于专家共识的结构化算法，用于管理偶然发现的肾上腺结节。如果需要进一步的诊断性检查，对于直径小于 4 厘米的结节，肾上腺计算机断层扫描是最合适的检查。除了影像学检查外，还需要进行生化检查和内分泌学转诊，以排除功能性肿块。