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Updated: Jul 26, 2025

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
上腺瘤:从上腺多学科瘤委员会吸取教训
Ryan Chung1, Joanie Garratt1, Erick M Remer1
1From the Department of Radiology, Division of Abdominal Imaging, Massachusetts General Hospital, Boston, MA (R.C., M.A.B.); Department of Radiology, Abdominal Imaging, Hospital of the University of Pennsylvania, Philadelphia, PA (J.G.); Department of Radiology, Imaging Institute and Glickman Urological Institute, Cleveland Clinic, Cleveland, OH (E.M.R.); Department of Radiology, Mayo Clinic, Rochester, MN (P.N.); Department of Radiology, Center for Biomedical Imaging, NYU Grossman School of Medicine, NYU Langone Health, New York, NY (M.T.T.); Department of Radiology, Ohio State University Wexner Medical Center, Columbus, OH (C.E.H.); Department of Radiology, University of Alabama, Birmingham, AL (K.G.S.); Department of Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada (W.T., G.L., M.B.); Departments of Radiology (B.W.C., M.T.C.) and Surgery (M.J.C.), UC Davis Medical Center, Sacramento, CA; Department of Radiology (J.T.L.), Department of General Surgery (C.Y.L.), and Department of Pathology and Laboratory Medicine (J.C.D.), University of Kentucky, Lexington, KY; Department of Diagnostic Radiology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030 (M.A.S., K.M.E.); Department of Radiology, University of Michigan, Ann Arbor, MI (E.M.C.); and Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada (N.S.).
诊断上腺疾病是复杂的,因为非典型的表现和重叠的成像特征良性和恶性上腺质量. 本综述强调了关键的诊断挑战,并为准确的放射学解释和管理提供了教训.
科学领域:
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 上腺疾病的放射性诊断由于异常呈现,模仿和罕见异常而存在挑战.
- 上腺质量的错误诊断可能会导致不理想的患者管理和不良结果.
- 区分良性上腺病变 (腺瘤,囊,髓脂瘤) 和恶性瘤 (皮上腺癌,转移) 是至关重要的.
研究的目的:
- 审查临床实践中遇到的上腺瘤具有挑战性的病例.
- 为准确诊断上腺质量提供关键教训.
- 根据放射学发现指导上腺疾病的适当管理策略.
主要方法:
- 对多学科瘤委员会提交的上腺瘤临床病例的审查.
- 分析各种良性和恶性上腺病变的成像特征.
- 讨论重叠的成像特征,模仿其他上腺病理.
主要成果:
- 非典型的上腺腺瘤,包括缺乏脂质或异质质量,可以模仿上腺皮质癌,转移或色细胞瘤.
- 较小的恶性病变或具有高洗率的病变可能与良性腺瘤相似.
- 罕见的上腺瘤,如血管瘤和细胞瘤,也可能带来诊断挑战.
结论:
- 精确的上腺质量的放射诊断需要仔细考虑非典型特征和潜在的模仿.
- 了解良性和恶性上腺病变的成像谱对于适当的管理至关重要.
- 多学科瘤委员会讨论有助于复杂的上腺瘤诊断和治疗规划.
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