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上腺出血的临床特征和结果
Theresa N Wang1, Vennila Padmanaban2, Elizabeth J Bashian3
1Division of Surgical Oncology, Department of Surgery, The Ohio State University Comprehensive Cancer Center, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address: https://www.twitter.com/turayza.
Surgery
|April 9, 2024
概括
上腺出血,通常是由创伤引起的,经常涉及在初始成像中错过的结节. 进一步评估,包括后续成像,对于识别潜在疾病和确保适当的患者护理至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
背景情况:
- 上腺出血是一种不常见的疾病,原因多种多样.
- 上腺出血的临床特征,治疗方法和结果没有得到充分的记录.
研究的目的:
- 为了调查病因,干预需求,成像演变,以及对上腺出血的评估充分性.
- 描述上腺出血患者的临床表现和结果.
主要方法:
- 从2005年至2021年通过计算机断层扫描 (CT) 诊断出上腺出血的193名患者的回顾性审查.
- 对人口特征,出血病因和随访数据的分析.
主要成果:
- 创伤是上腺出血的最常见原因 (47%).
- 62%的出血发生在上腺之外;12%的患者有结节,只有70%的患者最初被发现.
- 只有43%的结节患者接受了激素评估;没有发现上腺皮癌.
结论:
- 上腺出血源于各种原因,主要是创伤.
- 最初的成像通常错过了上腺节;后续成像可以帮助识别那些需要激素评估的人.
- 少数患有结节的患者接受全面的生化评估.
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