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肾上腺意外瘤的诊疗进展
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- Author:
- No author available
- Journal Title:
- Journal of BingTuan Medicine
- Issue:
- 1
- DOI:
- 10.3969/j.issn.1672-4356.2024.01.030
- Key Word:
- 肾上腺意外瘤;影像学检查;个体化管理策略
Abstract： 肾上腺意外瘤(Adrenal Incidentaloma,AI)是一种常见的内分泌疾病,在普通人群中检出率约为2％,肾上腺意外瘤中约2％为肾上腺皮质癌,具有激素分泌功能异常者约10％.医学影像学检查首选计算机断层扫描(Computed Tomogra-phy,CT).大多数AI为良性且无功能,对人体危害小,以随访为主.对于AI影像学有恶性征象和(或)激素分泌功能异常者,常需手术干预.本文综合了AI的诊断、治疗进展进行综述,探讨AI患者内分泌科、影像科、泌尿外科、病理科、肿瘤科等多学科协作,以及AI患者风险分层、制定个体化管理策略.
- [1]Hong, A. Ram,Kim, Jung Hee,Park, Kyeong Seon,etc.Optimal follow-up strategies for adrenal incidentalomas: reappraisal of the 2016 ESE-ENSAT guidelines in real clinical practice[J].2017,177(6).
- [2]Gamze Akkuş,Mehtap Evran,Murat Sert,etc.Multidisciplinary approach for patients with functional and non‐functional adrenal masses and review of the literature[J].2018,1(3).
- [3]M.Winkelmann,W.D.Schoppe,N.Volk,etc.Correlation of abdominal CT imaging with autopsy findings in patients with malignant tumors[J].1987,113(3).
- [4]M. Abecassls,M.J. McLoughlin,B. Langer,etc.Serendipitous adrenal masses: Prevalence, significance, and management[J].1985,149(6).
- [5]P, Granger,J, Genest.Autopsy study of adrenals in unselected normotensive and hypertensive patients.[J].1970,103(1).
- [6]Davenport,E.,LangPingNam,P.,Wilson,M.,etc.Adrenal incidentalomas: Management in British district general hospitals[J].2014,90(TN.1065).
- [7].信息动态[J].2021,(4).
- [8]Hanna S,Thompson CJ,Win HH,etc.The prevalence of adrenal incidentaloma in routine clinical practice.[J].2011,40(1).
- [9]A P, Meagher,T B, Hugh,J H, Casey,etc.Primary adrenal tumours--a ten-year experience.[J].1988,58(6).
- [10]YAMADA Edward Y.,FUKUNAGA Francis H..Adrenal Adenoma and Hypertension[J].1969.
- [11]Bayraktar F,Yener S,Kebapcilar L,etc.Adrenal incidentaloma, clinical, metabolic, follow-up aspects: single centre experience.[J].2010,37(1).
- [12]G W, Geelhoed,E M, Druy.Management of the adrenal "incidentaloma".[J].1982,92(5).
- [13]Taya, Michio,Paroder, Viktoriya,Bellin, Eran,etc.The relationship between adrenal incidentalomas and mortality risk[J].2019,29(11).
- [14]Mantero F..A Survey on Adrenal Incidentaloma in Italy[J].2000.
- [15]R H, Caplan,P J, Strutt,G G, Wickus.Subclinical hormone secretion by incidentally discovered adrenal masses.[J].1994,129(3).