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.
Artigo
em Chinês
| 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>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Feocromocitoma
/
Carcinoma
/
Adenoma
/
Estudos Retrospectivos
/
Neoplasias do Córtex Suprarrenal
/
Síndrome de Cushing
/
Diagnóstico
/
Diagnóstico Diferencial
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Adolescente
/
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Acta Academiae Medicinae Sinicae
Ano de publicação:
2003
Tipo de documento:
Artigo
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