Soule S G, Jacobs H S
Department of Medicine, University College London Medical School, UK.
Postgrad Med J. 1996 May;72(847):258-62. doi: 10.1136/pgmj.72.847.258.
The advent of sophisticated and sensitive radiologic techniques has undoubtedly improved the evaluation of patients with established endocrine disease. An inevitable consequence of the increased sensitivity and widespread availability of modern imaging is, however, the discovery of apparently asymptomatic mass lesions in endocrine tissues. The clinician is then required to determine the appropriate degree of often uncomfortable and costly investigation in a patient with no overt disease. This article attempts to provide guidelines for the management of the 'pituitary incidentaloma', a pituitary mass lesion evident on a computed tomography or magnetic resonance imaging scan performed for a reason other than the evaluation of the pituitary gland.
先进且灵敏的放射学技术的出现无疑改善了对已确诊内分泌疾病患者的评估。然而，现代成像技术敏感性的提高和广泛应用带来的一个必然结果是，在内分泌组织中发现了明显无症状的肿块病变。对于没有明显疾病的患者，临床医生需要确定适当程度的检查，而这些检查往往令人不适且费用高昂。本文试图为“垂体意外瘤”的管理提供指导原则，垂体意外瘤是指在因垂体评估以外的原因进行计算机断层扫描或磁共振成像扫描时发现的垂体肿块病变。
