Galvan G, Pohl G B
MMW Munch Med Wochenschr. 1976 Jan 2;118(1):21-4.
Follow-up examinations in four patients with autonomous adenomas showed cystic degeneration in the autonomous adenomas 20 to 45 months after the first examination, confirmed by fine needle biopsy. Clinical improvement occurred three times with scintigraphic compensation, decompensation occurred once without clinical deterioration. In particular cases a therapeutic policy of wait and see is justified in patients with autonomous adenomas because they may remain clinically inconspicuous for a long time; on the other hand there is a possibility of a cystic degeneration.
对4例自主性腺瘤患者的随访检查显示，在首次检查后20至45个月，自主性腺瘤出现囊性变，细针穿刺活检证实了这一点。闪烁扫描代偿后临床改善出现3次，失代偿出现1次，但无临床恶化。对于自主性腺瘤患者，在某些特定情况下，采取观察等待的治疗策略是合理的，因为它们可能在很长一段时间内临床上不明显；另一方面，存在发生囊性变的可能性。
