Management of Adrenal Masses
详细信息 查看全文
- 作者：Hattangadi Sanjay Bhat ; Balagopal Nair Tiyadath
- 关键词：Adenoma ; Adrenocortical ; Pheochromocytoma ; Adrenal cancer ; Adrenal incidentaloma
- 刊名：Indian Journal of Surgical Oncology
- 出版年：2017
- 出版时间：March 2017
- 年：2017
- 卷：8
- 期：1
- 页码：67-73
- 全文大小：
- 刊物主题：Surgical Oncology; Oncology; Surgery;
- 出版者：Springer India
- ISSN：0976-6952
- 卷排序：8
文摘
An adrenal mass can be either symptomatic or asymptomatic in the form of adrenal incidentalomas (AIs) in up to 8 % in autopsy and 4 % in imaging series. Once a diagnosis of adrenal mass is made, we need to differentiate whether it is functioning or nonfunctioning, benign, or malignant. In this article, we provide a literature review of the diagnostic workup including biochemical evaluation and imaging characteristics of the different pathologies. We also discuss the surgical strategies with laparoscopy as the mainstay with partial adrenalectomy in select cases and adrenalectomy in large masses. Follow-up protocol of AIs and adrenocortical carcinoma is also discussed.