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从腺瘤到癌瘤:一个看似稳定的上腺损伤的意想不到的演变
Giacomo Cristofolini1,2, Giulia Maida2,1, Simona Jaafar2,1
1Department of Biomedical Sciences, Humanitas University, Pieve Emanuele (MI), Italy.
Endocrine, metabolic & immune disorders drug targets
|July 18, 2024
概括
具有良性特征的上腺瘤可以发展为上腺癌. 长期跟踪对于管理这些不确定的上腺质量至关重要,即使它们看起来稳定.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 由于长期证据有限,缺乏明显良性放射性特征的上腺副瘤会带来管理挑战.
- 一个案例介绍了一名75岁的老人,他的非分泌上腺质量最初看起来稳定了两年.
- 这块质体后来被诊断为上腺癌,尽管它最初的放射性外观是良性的.
研究的目的:
- 强调长期监测上腺附带瘤的重要性.
- 要强调的是,明显的放射性稳定性并不排除恶性瘤.
- 为了强调不确定的上腺体质量所带来的诊断挑战.
主要方法:
- 一名75岁的男性患者在2017年检测到14毫米的上腺损伤,随后进行了连续CT扫描两年.
- 随访CT扫描显示病变没有维度或密度变化.
- 三年后的CT扫描显示,病变大小显著增加 (14.5x10x12厘米),导致瘤切除术和上腺癌的诊断.
主要成果:
- 组织学检查证实了上腺癌,其增殖指数为5%,韦斯评分为7.
- 患者接受了没有辅助治疗的开放性瘤切除术.
- 随访CT扫描显示没有疾病复发的证据.
结论:
- 上腺癌通常呈现为快速生长的转移性病变.
- 这一案例表明,尽管表面稳定,但具有不确定的特征的上腺质量需要长期随访.
- 这些发现强调了在管理没有表现出明显恶性特征的上腺瘤时需要保持警.
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