Miller Silvia, Schaller Tina
Allgemeine und Spezielle Pathologie, Medizinische Fakultät, Universität Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
Chirurgie (Heidelb). 2022 Sep;93(9):831-839. doi: 10.1007/s00104-022-01644-5. Epub 2022 May 20.
In the case of neoplasms of the adrenal glands that are radiologically and clinically unclear, the indications for surgical resection as well as the subsequent clarification of the entity and dignity on the surgical specimen are difficult. The diagnostics of adrenal neoplasms, in particular the clear distinction between an adenoma and a carcinoma are often tricky from the point of view of a pathologist. In the following, not only the problems of classification and the possibilities of diagnostics in pathology but also an overview of the most important differential diagnoses of other benign and malignant tumors of the adrenal cortex and medulla are presented.
对于肾上腺肿瘤,若其在放射学和临床上表现不明确,手术切除的指征以及随后对手术标本的实体和性质进行明确就会很困难。肾上腺肿瘤的诊断,尤其是从病理学家的角度来看,腺瘤和癌的明确区分往往很棘手。以下不仅介绍了病理学中的分类问题和诊断方法,还概述了肾上腺皮质和髓质其他良性和恶性肿瘤最重要的鉴别诊断。