Adrenal Incidentaloma

被引：179

作者：

Sherlock, Mark ^{[1
,2
]}

Scarsbrook, Andrew ^{[3
]}

Abbas, Afroze ^{[4
]}

Fraser, Sheila ^{[5
]}

Limumpornpetch, Padiporn ^{[6
]}

Dineen, Rosemary ^{[1
,2
]}

Stewart, Paul M. ^{[6
]}

机构：

[1] Beaumont Hosp, Dept Endocrinol, Beaumont Rd, Dublin 9, Ireland

[2] Royal Coll Surgeons Ireland, Dublin, Ireland

[3] Leeds Teaching Hosp NHS Trust, St James Univ Hosp, Dept Radiol, Beckett St, Leeds LS9 7TF, W Yorkshire, England

[4] Leeds Teaching Hosp NHS Trust, St James Univ Hosp, Dept Endocrinol, Beckett St, Leeds LS9 7TF, W Yorkshire, England

[5] Leeds Teaching Hosp NHS Trust, St James Univ Hosp, Dept Endocrine Surg, Beckett St, Leeds LS9 7TF, W Yorkshire, England

[6] Univ Leeds, Fac Med & Hlth, Worsley Bldg,Clarendon Way, Leeds LS2 9NL, W Yorkshire, England

来源：

ENDOCRINE REVIEWS | 2020年 / 41卷 / 06期

关键词：

adrenal adenoma; adrenal incidentaloma; adrenal computed tomography; autonomous cortisol secretion; adrenal cortical carcinoma; SUBCLINICAL CUSHINGS-SYNDROME; PROTEIN-KINASE-A; DUAL-ENERGY CT; SPORADIC ADRENOCORTICAL TUMORS; ALDOSTERONE-PRODUCING ADENOMAS; POSITRON-EMISSION-TOMOGRAPHY; CLINICAL-PRACTICE GUIDELINE; TANDEM MASS-SPECTROMETRY; NIGHT SALIVARY CORTISOL; URINARY FREE CORTISOL;

D O I：

10.1210/endrev/bnaa008

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An adrenal incidentaloma is now established as a common endocrine diagnosis that requires a multidisciplinary approach for effective management. The majority of patients can be reassured and discharged, but a personalized approach based upon image analysis, endocrine workup, and clinical symptoms and signs are required in every case. Adrenocortical carcinoma remains a real concern but is restricted to <2% of all cases. Functional adrenal incidentaloma lesions are commoner (but still probably <10% of total) and the greatest challenge remains the diagnosis and optimum management of autonomous cortisol secretion. Modern-day surgery has improved outcomes and novel radiological and urinary biomarkers will improve early detection and patient stratification in future years to come.

引用

页码：775 / 820

页数：46

共 50 条

[31] Diagnosis and management of adrenal incidentaloma
Oliveira Caiafa, R.
Salvador Izquierdo, R.
Bunesch Villalba, L.
Sebastia Cerqueda, M. C.
Nicolau Molina, C.
RADIOLOGIA, 2011, 53 (06): : 516 - 530
[32] ADRENAL INCIDENTALOMA - SHADOW OR MATTER
PROYE, C
ANNALES DE CHIRURGIE, 1988, 42 (01): : 3 - 5
[33] Ectopic Thyroid in the Adrenal Presenting as an Adrenal Incidentaloma
Yilmaz, Banu Aktas
Akturk, Mujde
Kan, Erdal
Poyraz, Aylar
Tokgoz, Nil
Cakir, Nuri
Arslan, Metin
TURKISH JOURNAL OF ENDOCRINOLOGY AND METABOLISM, 2016, 20 (04) : 136 - 139
[34] Adrenal Schwannoma A Rare Type of Adrenal Incidentaloma
Mohiuddin, Yaseen
Gilliland, Mary G. F.
ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 2013, 137 (07) : 1009 - 1014
[35] Role of adrenal scintigraphy in the management of adrenal incidentaloma
Marazuela, M
Domínguez-Gadea, L
Larrañaga, E
Rodríguez-Ramos, R
López-Gallardo, G
Rodríguez-Eyre, JL
Gómez-Pan, A
REVISTA CLINICA ESPANOLA, 2005, 205 (07): : 316 - 321
[36] Congenital adrenal hyperplasia as a cause of adrenal incidentaloma
Buitenwerf, E.
Links, T. P.
Kema, I. P.
Haadsma, M. L.
Kerstens, M. N.
NETHERLANDS JOURNAL OF MEDICINE, 2017, 75 (07): : 298 - 300
[37] Paraganglioma mimicking adrenal incidentaloma
Durai, Rajaraman
Husain, Farihah
Sivarajah, Vernon
Oke, Tayo
Siddiqui, Midhat
BRITISH JOURNAL OF HOSPITAL MEDICINE, 2011, 72 (10) : 593 - 593
[38] Approach to the Patient With Adrenal Incidentaloma
Bancos, Irina
Prete, Alessandro
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2021, 106 (11): : 3331 - 3353
[39] THE ADRENAL INCIDENTALOMA - A PEDIATRIC PERSPECTIVE
LIGHTNER, ES
LEVINE, LS
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1993, 147 (12): : 1274 - 1276
[40] Adrenal schwannoma: An uncommon incidentaloma
Bhattacharya, Sumanta
Kumar, Ankit
Chatterjee, Uttara
Pal, Dilip K.
INDIAN JOURNAL OF PATHOLOGY AND MICROBIOLOGY, 2021, 64 (02) : 379 - 381

← 1 2 3 4 5 →