Thompson N W, Cheung P S
Surg Clin North Am. 1987 Apr;67(2):423-36. doi: 10.1016/s0039-6109(16)44193-9.
The most important functional tumors of the adrenal cortex are those that secrete cortisol or aldosterone in excess. Biochemical testing when appropriately utilized can diagnose and differentiate the cause of Cushing's syndrome, and when an adrenal adenoma is found, surgical excision is curative. The diagnosis and surgical treatment of primary aldosteronism are straightforward today, and localization of the usual small cortical tumor producing the syndrome can be achieved by CT and NP-59 scanning or selective venous assays. Adrenocortical carcinomas are relatively rare, are usually incurable when diagnosed, and are an important consideration in the incidentally discovered adrenal mass found by CT scanning.
肾上腺皮质最重要的功能性肿瘤是那些分泌过量皮质醇或醛固酮的肿瘤。合理运用生化检测可诊断并鉴别库欣综合征的病因，一旦发现肾上腺腺瘤，手术切除可治愈。如今，原发性醛固酮增多症的诊断和外科治疗较为直接，通过CT和NP-59扫描或选择性静脉检测可实现对引发该综合征的常见小皮质肿瘤的定位。肾上腺皮质癌相对罕见，确诊时通常无法治愈，是CT扫描偶然发现的肾上腺肿块时需要重点考虑的情况。
