Nielsen M E, Heaston D K, Dunnick N R, Korobkin M
AJR Am J Roentgenol. 1982 Aug;139(2):317-20. doi: 10.2214/ajr.139.2.317.
Preoperative chest computed tomographic (CT) scans in 84 patients with biopsy-proved non-small cell bronchogenic carcinoma were reviewed. At least one adrenal gland was visualized in 70 of these. Evidence of a solid adrenal mass was present in 18 (14.5%) glands in 15 (21.4%) patients. Percutaneous needle aspiration under CT guidance confirmed metastatic malignancy in the four patients who were biopsied. Because the documented presence of adrenal metastases in non-small cell lung cancer makes surgical resection or local irradiation inappropriate, it is recommended that both adrenal glands in their entirety be specifically included whenever a staging chest CT examination is performed in patients with such tumors. Percutaneous needle biopsy for pathologic confirmation of the nature of solid adrenal masses discovered in this process is also useful.
回顾了84例经活检证实为非小细胞支气管肺癌患者的术前胸部计算机断层扫描（CT）。其中70例患者的肾上腺至少有一侧显影。15例（21.4%）患者的18个（14.5%）肾上腺出现实性肿块。在接受活检的4例患者中，CT引导下经皮针吸活检证实为转移性恶性肿瘤。由于非小细胞肺癌中记录到肾上腺转移的存在使得手术切除或局部放疗不合适，因此建议对这类肿瘤患者进行分期胸部CT检查时，应特别包括双侧肾上腺的完整情况。在此过程中发现的实性肾上腺肿块，经皮针吸活检以病理证实其性质也很有用。
