Copeland P M
Ann Surg. 1984 Jan;199(1):116-22. doi: 10.1097/00000658-198401000-00021.
With the wider application of increasingly sensitive computed tomographic scans, more adrenal masses will be discovered incidentally. Because benign lesions of the adrenal are much commoner than malignant ones, an approach is needed to determine which incidentally discovered masses should be removed. The history and physical examination may guide the evaluation. Imaging studies and needle biopsies have limited value. If the history and physical findings do not suggest a diagnosis, an approach using the size of the mass, results of any cyst puncture, and a biochemical assessment may determine which patients should have surgery. This approach is based on the relative prevalence of benign and malignant clinically silent adrenal tumors.
随着越来越敏感的计算机断层扫描技术得到更广泛应用，将会偶然发现更多肾上腺肿块。由于肾上腺良性病变远比恶性病变常见，因此需要一种方法来确定哪些偶然发现的肿块应该切除。病史和体格检查可能有助于评估。影像学检查和针吸活检价值有限。如果病史和体格检查结果不能提示诊断，那么利用肿块大小、任何囊肿穿刺结果以及生化评估的方法可能会确定哪些患者应该接受手术。这种方法基于临床无症状肾上腺肿瘤中良性和恶性肿瘤的相对发生率。
