Graham D J, McHenry C R
Department of Surgery, Case Western Reserve University, Cleveland Veteran's Affairs Medical Center, Cleveland, Ohio, USA.
Surg Oncol Clin N Am. 1998 Oct;7(4):749-64.
Adrenal masses are identified incidentally on up to 1.5% of all abdominal CT scans. The appropriate evaluation and management of these "incidentalomas" remains controversial and centers on questions of function and potential for malignancy. Functional evaluation includes consideration of the diagnoses of aldosteronoma, pheochromocytoma, and corticosteroid-producing adenoma. Potential for malignancy can be evaluated using a number of imaging modalities, although none is diagnostic. Size remains one of the best criteria for assessing potential for malignancy.
在所有腹部CT扫描中，肾上腺肿块的偶然发现率高达1.5%。对这些“偶发瘤”的恰当评估和处理仍存在争议，核心问题是其功能及恶变可能性。功能评估包括对醛固酮瘤、嗜铬细胞瘤和皮质类固醇生成腺瘤的诊断考量。尽管没有一种影像学检查具有诊断性，但可使用多种成像方式评估恶变可能性。大小仍是评估恶变可能性的最佳标准之一。
