Bacinschi X E, Anghel R M
Dept. of Radiotherapy, "Prof. Dr. Alexandru Trestioreanu" Oncological Institute, Bucharest, Romania.
Dept. of Oncology, "Prof. Dr. Alexandru Trestioreanu" Oncological Institute, Bucharest, Romania.
Acta Endocrinol (Buchar). 2022 Jan-Mar;18(1):134-137. doi: 10.4183/aeb.2022.134.
Primary adrenal tumors include a broad variety of lesions, from nonfunctioning incidentalomas to secreting adrenocortical adenomas including Aldosteronism, Cushing or androgen secreting lesions. Primary tumors can occur either in the cortex or the medulla of the adrenal glands, having different histopathological features and also different clinical appearances and treatment approaches. In addition, the adrenal glands can become distant metastatic sites of numerous primary malignancies. The first line of treatment in a broad variety of cases is surgery. After pathology results, in selected cases, apart the oncologic approach, radiotherapy could be an important therapeutic tool. In this paper we will discuss the role of radiotherapy in the treatment of adrenal gland lesions.
原发性肾上腺肿瘤包括多种病变,从无功能的偶发瘤到分泌性肾上腺皮质腺瘤,如醛固酮增多症、库欣综合征或分泌雄激素的病变。原发性肿瘤可发生于肾上腺皮质或髓质,具有不同的组织病理学特征、临床表现和治疗方法。此外,肾上腺可成为多种原发性恶性肿瘤的远处转移部位。在多种情况下,一线治疗方法是手术。根据病理结果,在某些特定病例中,除了肿瘤学治疗方法外,放射治疗可能是一种重要的治疗手段。在本文中,我们将讨论放射治疗在肾上腺病变治疗中的作用。