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A clinical analysis of 103 cases of adrenal incidentaloma / 中国医学科学院学报
Acta Academiae Medicinae Sinicae ; (6): 172-175, 2003.
Artículo en Chino | WPRIM | ID: wpr-278103
ABSTRACT
<p><b>OBJECTIVE</b>To improve the diagnosis and treatment of adrenal incidentaloma (AI).</p><p><b>METHODS</b>Retrospective analysis of 103 AI patients in PUMC Hospital from 1994 to 2002.</p><p><b>RESULTS</b>Of the 103 cases (43 men and 60 women), most patients were 40-60 years old. Eighty-five cases (82.5%) were benign masses, of which 36 (35.0%) were non-functional adrenal cortical adenoma, and 12 (11.7%) were pheochromocytoma, 1 (1%) was Cushing's syndrome and 1 for aldosteronomas. Three cases did not show clinical feature and the diagnosis of pheochromocytoma were based on 131I-MIBG. Among 18 (17.5%) malignant tumors, adrenal carcinomas account for the majority (8 cases, 7.8%). Patients with malignant masses were significantly younger than patients with adenomas (P < 0.05), and the adenomas were significantly smaller than malignancy (P < 0.001). A cut-off at 4.0 cm of tumor mass size was set for differentiating benign and malignant tumors.</p><p><b>CONCLUSIONS</b>During the diagnosis of AI, it's essential to evaluate hormonal activity and assess for the risk of malignancy. If the mass size is 4 cm or larger, the risk of malignancy increases. More attention should be paid to subclinical hyperfunctional state.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Feocromocitoma / Carcinoma / Adenoma / Estudios Retrospectivos / Neoplasias de la Corteza Suprarrenal / Síndrome de Cushing / Diagnóstico / Diagnóstico Diferencial Tipo de estudio: Estudio diagnóstico / Estudio observacional Límite: Adolescente / Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Chino Revista: Acta Academiae Medicinae Sinicae Año: 2003 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Feocromocitoma / Carcinoma / Adenoma / Estudios Retrospectivos / Neoplasias de la Corteza Suprarrenal / Síndrome de Cushing / Diagnóstico / Diagnóstico Diferencial Tipo de estudio: Estudio diagnóstico / Estudio observacional Límite: Adolescente / Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Chino Revista: Acta Academiae Medicinae Sinicae Año: 2003 Tipo del documento: Artículo