Katz R L, Shirkhoda A
Cancer. 1985 May 1;55(9):1995-2000. doi: 10.1002/1097-0142(19850501)55:9<1995::aid-cncr2820550928>3.0.co;2-0.
Twenty-three nonfunctioning adrenal nodules were discovered during computed tomographic (CT) evaluation of the abdomen in 16 patients with a variety of primary extra-adrenal malignant neoplasms. In seven cases the adrenal masses were bilateral. Following percutaneous fine-needle aspiration biopsy, pathologic diagnosis was consistent with benign adenoma in seven patients, and with adrenal metastasis in nine. There was no significant difference in age, sex, or incidence of bilateral distribution among these two groups. Three of the adenomas were calcified, and the size of the benign nodules in all patients was less than 3 cm. No calcification was seen in metastatic adrenal nodules, and their sizes ranged between 2 and 20 cm. The clinical and radiologic features of these two groups of patients are evaluated, and a rational approach for the management of adrenal masses is described. The CT images of adrenal adenoma and adrenal metastasis, along with their corresponding cytopathologic features, are illustrated.
在对16例患有各种原发性肾上腺外恶性肿瘤的患者进行腹部计算机断层扫描（CT）评估时，发现了23个无功能肾上腺结节。其中7例肾上腺肿块为双侧性。经皮细针穿刺活检后，7例患者的病理诊断为良性腺瘤，9例为肾上腺转移瘤。这两组患者在年龄、性别或双侧分布发生率方面无显著差异。3例腺瘤有钙化，所有患者良性结节大小均小于3 cm。转移性肾上腺结节未见钙化，大小在2至20 cm之间。对这两组患者的临床和放射学特征进行了评估，并描述了肾上腺肿块的合理处理方法。文中还展示了肾上腺腺瘤和肾上腺转移瘤的CT图像及其相应的细胞病理学特征。
