Hensen J, Harsch I, Sachse R, Pavel M, Rico A F, Walter M, Stark S, Schrott K M, Kirchner T, Wittekind C, Knoch M
Abteilung Endokrinologie und Stoffwechsel, Medizinische Klinik l mit Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg.
Zentralbl Chir. 1997;122(6):487-93.
Adrenal masses are nowadays more and more diagnosed incidentally. In the vast majority of cases these "incidentalomas" are benign adrenocortical adenomas which do not compel operative therapy. In about 12% of patients an endocrine activity is detected. With Increasing tumor size the risk of malignancy increases. This article summarizes recommendations, only to allow patients with endocrine activity or an increased risk of malignancy to be selected for surgery. A small uncertainty will always remain, but may be minimized by an individually tailored follow-up.
如今，肾上腺肿块越来越多地被偶然发现。在绝大多数情况下，这些“偶发瘤”是良性肾上腺皮质腺瘤，无需手术治疗。约12%的患者检测到内分泌活性。随着肿瘤大小的增加，恶性风险也会增加。本文总结了相关建议，仅针对有内分泌活性或恶性风险增加的患者选择手术。总会存在一些小的不确定性，但可以通过个体化的随访将其降至最低。
