偶发瘤
医学
原发性醛固酮增多症
腺瘤
嗜铬细胞瘤
内分泌系统
醛固酮增多症
肾上腺腺瘤
病因学
肾上腺皮质腺瘤
内科学
放射科
胃肠病学
醛固酮
激素
作者
Nan Liu,Sun Guang-hui,Zhiyu Liu,Benli Su,Changjiang Li,Ying Liu,Song Leng
出处
期刊:Chin J Postgrad Med
日期:2018-09-05
卷期号:41 (9): 797-799
标识
DOI:10.3760/cma.j.issn.1673-4904.2018.09.008
摘要
Objective
To reveal pathogenesis and etiology in adrenal incidentaloma.
Methods
The clinical data of 116 patients with adrenal incidentaloma from January 1, 2015 to January 1, 2017 were retrospectively analyzed.
Results
In 116 patients with adrenal incidentaloma, 49 cases (42.2%) were male and 67 cases (57.7%) were female; there were 14 cases (12.1%) aged from 20 to 40, 63 cases (54.3%) aged from 40 to 60, and 39 cases (33.6%) > 60 years. Forty-three patients (37.1%) were found by health examination, 26 patients (22.4%) were found because of hypertension, 27 patients (23.3%) were found by CT detection because of other diseases, and 20 cases (17.2%) were found because of other reasons. The result of endocrine function examination showed that nonfunctioning adrenal tumor was in 56 cases (48.3%); functional adrenal tumor was in 44 cases (37.9%), among whom primary aldosteronism was in 27 cases, Cushing syndrome was in 10 cases, and pheochromocytoma was in 7 cases; nonfunctioning non-adenoma was in 16 cases (13.8%).
Conclusions
It is frequent that the adrenal incidentaloma is found by health examination. The patients with adrenal incidentaloma should examine the endocrine function and identify the benign or malignant. And if necessary, surgical treatment should be performed.
Key words:
Adrenal gland neoplasms; Hypertension; Retrospective studies; Endocrine function
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