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肾上腺意外瘤诊治现状

Current Status of the Diagnosis and Treatment of Adrenal Incidentaloma
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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
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