肾上腺意外瘤诊治现状
Current Status of the Diagnosis and Treatment of Adrenal Incidentaloma
摘要
肾上腺意外瘤(adrenalincidentaloma,AI)是指在因非肾上腺疾病进行的影像学检查中偶然发现的肾上腺肿块,直径通常〉1cm[1]。随着影像学技术的不断发展,AI的发病率呈现升高的趋势。其尸检发现率达6%[1-2]。一旦发现AI,激素相关检查及CT、磁共振成像(MRI)等影像学检查能够确定大部分患者的病因[3]。AI中多数是无功能的良性病变,但部分是具有分泌功能或潜在分泌功能的肿瘤,甚至部分属于恶性病变。AI(尤其是较大的AI)若不及时诊治,会使患者的平均寿命缩短约1年[4]。目前对AI的功能和良恶性质以及具体治疗方案的选择尚无统一的认识,本文就其分类、诊断和治疗现状进行综述。
出处
《中国临床医学》
2012年第6期713-716,共4页
Chinese Journal of Clinical Medicine
参考文献26
-
1Young WF Jr. Management approaches to adrenal incidentalomas:a view from Rochester,Minnesota[J].Endocrinology and Metabolism Clinics of North America,2000,(01):159-185.doi:10.1016/S0889-8529(05)70122-5.
-
2Kloos RT,Gross MD,Francis IR. Incidentally discovered adrenal masses[J].Endocrine Reviews,1995,(04):460-484.
-
3Oliveira Caiafa R,Salvador Izquierdo R,Bunesch Villalba L. Diagnosis and management of adrenal incidentaloma[J].Radiologia,2011,(06):516-530.
-
4Kievit J,Haak HR. Diagnosis and treatment of adrenal incidentaloma.A cost effectiveness analysis[J].Endocrinology and Metabolism Clinics of North America,2000,(01):69-901.
-
5Arnaldi G,Boscaro M. Adrenal Incidentaloma[J].Best Practice and Research:Clinical Endocrinology and Metabolism,2012,(04):405-419.
-
6Linos DA. M anagement approaches to adrenal incidentalomas (adrenalomas).A view from Athens,C-reece[J].Endocrinology and Metabolism Clinics of North America,2000,(01):141-157.doi:10.1016/S0889-8529(05)70121-3.
-
7Motta-Ramirez GA,Remer EM,Herts BR,Gill IS Hamrahian AH. Comparison of CT findings in symptomatic and incidentally discovered pheochromocytomas[J].American Journal of Roentgenology,2005,(03):684-688.
-
8Sutton MG,Sheps SG,Lie JT. Prevalence of clinically unsuspected pheochromocytoma:review of a 50-year autopsy series[J].Mayo Clinic Proceedings,1981,(06):354-360.
-
9Sawka AM,Jaeschke R,Singh RJ. A comparison of biochemical tests for pheochromocytoma:measurement of fractionated plasma metanephrines compared with the combination of 24-hour urinary metanephrines and catecholamines[J].Journal of Clinical Endocrinology and Metabolism,2003,(02):553-558.
-
10Lenders JW,Pacak K,Walther MM. Biochemical diagnosis of pheochromocytoma:which test is best[J].Journal of the American Medical Association,2002,(11):1427-1434.
-
1王军,董砚虎,吕文山,柳林.肾上腺意外瘤诊治进展[J].山东医药,2001,41(23):60-61.
-
2aber,W,李玉秀.肾上腺意外瘤的病人血、尿儿茶酚胺正常,但是血浆游离变异肾上腺素升高诊断[J].世界医学杂志,2000,4(12):19-20.
-
3黎丽萍.肾上腺意外瘤37例临床分析[J].医学理论与实践,2007,20(6):681-682.
-
4李江源.肾上腺“意外”瘤[J].中级医刊,1996,31(2):8-8.
-
5泌尿、生殖系统[J].中国医学文摘(肿瘤学),2004,18(3):208-211.
-
6王小燕,余俐玲,林婵(女庄),沈桂新,杨金兰.26例肾上腺肿块的B超与CT检查[J].广西医学,1995,17(2):141-142.
-
7李国杰,龚新环.B型超声对肾上腺肿块诊断新进展[J].皖南医学院学报,2000,19(3):247-249. 被引量:2
-
8徐春燕.肾上腺肿块的超声诊断探讨——附102例分析[J].云南卫生科技与教育,2000,4(4):36-37.
-
9傅加平,刘庆余,梁碧玲.肾上腺肿块MRI诊断价值的探讨[J].现代医用影像学,1998,7(4):153-157. 被引量:1
-
10詹琼,梁晓华.双侧肾上腺非霍奇金淋巴瘤两例报告并文献复习[J].中国癌症杂志,2007,17(9):747-748. 被引量:3