Schmid M, Lorenz D, Winter J, Richter A, Schwall G, Trede M
Chirurgische Klinik, Klinikum Mannheim, Universität Heidelberg.
Zentralbl Chir. 1995;120(9):702-6.
Asymptomatic adrenal tumors are discovered more and more frequently with improving quality of diagnostic imaging. Treatment of these tumors, described as incidentalomas is controversial and depends on the one hand on the size of the tumor and on the other hand on morphological appearance in diagnostic imaging. In the literature a tumor size over 3 cm is in general regarded as an indication for operation, based on findings of Copeland et al. where the size of the tumor was correlated with malignancy. In the Department of Surgery in Mannheim 28 operations on adrenal incidentalomas have been performed between 1973-1993. In three patients a carcinoma was found. Four of the removed tumors each of them benign had a diameter smaller than three centimeters. An operation seems to be justified under certain conditions, even in small tumors, because potentially malignant tumors can undergo early and radical surgery. A general recommendation for treatment of the above mentioned tumors, depending only on size and morphology in diagnostic imaging, seems to be difficult. The decision for surgical therapy needs to be evaluated individually for every patient.
随着诊断成像质量的提高，无症状肾上腺肿瘤的发现越来越频繁。这些被称为偶发瘤的肿瘤的治疗存在争议，一方面取决于肿瘤的大小，另一方面取决于诊断成像中的形态表现。在文献中，基于Copeland等人的研究结果，肿瘤大小超过3 cm通常被视为手术指征，该研究发现肿瘤大小与恶性程度相关。1973年至1993年间，曼海姆外科 department对肾上腺偶发瘤进行了28例手术。在3例患者中发现了癌。4例切除的肿瘤均为良性，直径小于3厘米。即使在小肿瘤中，在某些情况下手术似乎也是合理的，因为潜在恶性肿瘤可以接受早期根治性手术。仅根据诊断成像中的大小和形态对上述肿瘤进行治疗的一般建议似乎很困难。手术治疗的决定需要对每个患者进行个体评估。
