偶发性肾上腺肿块患者的诊疗方法
Approach to the Patient with an Incidental Adrenal Mass.
作者信息
He Xin, Peter Patricia R, Auchus Richard J
机构信息
Division of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Section of Endocrinology, Department of Internal Medicine, Yale School of Medicine, 333 Cedar Street, FMP 110, PO Box 208020, New Haven, CT 06520, USA.
出版信息
Med Clin North Am. 2021 Nov;105(6):1047-1063. doi: 10.1016/j.mcna.2021.06.009. Epub 2021 Sep 9.
Adrenal masses are frequently incidentally identified from cross-sectional imaging studies, which are performed for other reasons. The intensity of the approach to the patient with such a mass is tailored to the clinical situation, ranging from a quick evaluation to a detailed work-up. In all cases, the three components of the evaluation are clinical assessment, review of the images, and biochemical testing with the goal of ruling out malignancy and identifying hormonally active lesions. This article incorporates recent information to produce a logical, systematic assessment of these patients with risk stratification and proportionate follow-up.
肾上腺肿块经常在因其他原因进行的横断面成像研究中被偶然发现。对于有此类肿块的患者，其处理方式的强度会根据临床情况进行调整，范围从快速评估到详细检查。在所有情况下，评估的三个组成部分是临床评估、图像复查和生化检测，目的是排除恶性肿瘤并识别有激素活性的病变。本文纳入了最新信息，以对这些患者进行合理、系统的评估，包括风险分层和适当的随访。
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