Oliver T W, Bernardino M E, Miller J I, Mansour K, Greene D, Davis W A
Radiology. 1984 Oct;153(1):217-8. doi: 10.1148/radiology.153.1.6473783.
Computed tomography has become an important diagnostic modality in the preoperative staging of patients with bronchogenic carcinoma. The adrenal glands represent one of the most frequent sites of metastasis. Therefore, an isolated adrenal mass discovered on preoperative thoracoabdominal CT poses a diagnostic problem. Three hundred thirty patients with histologically proved nonsmall-cell bronchogenic carcinoma were evaluated. Thirty-two had adrenal masses without further evidence of disease in the abdomen. Eight of these 32 masses were metastases, 17 were proved adenomas, and seven did not undergo biopsy. Thus, in the patients with nonsmall-cell bronchogenic carcinoma, an isolated adrenal mass is more likely benign than metastatic, and biopsy is advocated prior to withholding potentially curative surgery.
计算机断层扫描已成为支气管源性癌患者术前分期的重要诊断方法。肾上腺是最常见的转移部位之一。因此，术前胸腹CT发现的孤立肾上腺肿块带来了诊断难题。对330例经组织学证实为非小细胞支气管源性癌的患者进行了评估。32例有肾上腺肿块，腹部无其他疾病证据。这32个肿块中有8个是转移瘤，17个被证实为腺瘤，7个未进行活检。因此，在非小细胞支气管源性癌患者中，孤立肾上腺肿块更可能是良性而非转移性的，主张在停止可能治愈性手术之前进行活检。
