活检还是不活检上腺质量:这是问题吗?
Edouard Purenne1, Erika Cornu2, Vincent Mezzarobba2
1Department of Radiology, Medipole, Lyon-Villeurbanne, Villeurbanne, France.
Acta radiologica open
|August 23, 2024
概括
在某些情况下,上腺活检可以防止不必要的上腺切除术. 这个案例凸显了活检如何识别良性炎症,避免了可疑上腺质的手术.
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:
- 欧洲内分泌学会的指导方针建议对可疑的上腺质量进行手术,并有限地使用上腺活检.
- 上腺质量需要仔细评估,以区分良性和恶性疾病.
研究的目的:
- 报告一个上腺活检对于避免对可疑上腺质量进行不必要的上腺切除术至关重要的病例.
- 突出上腺活检在精选病例中的价值,以准确诊断和管理.
主要方法:
- 一个病例报告,一个80岁的男性患有大量的左上腺质量.
- 诊断工作包括激素评估,18F-FDG-PET/CT和上腺活检.
- 随访成像 (CT和18F-FDG-PET/CT) 在1个月和3个月后进行.
主要成果:
- 上腺质量测量67 × 41毫米,18F-FDG吸收率高 (SUVmax: 44.6).
- 活检的病理学显示T淋巴细胞炎症透 (CD4表型) 没有恶性病变.
- 随访成像显示,质量大小显著减少 (至19 × 10毫米) 和18F-FDG吸收 (SUVmax:0.0).
结论:
- 上腺活检可以在某些可疑上腺质量的特定情况下成为一个有价值的工具.
- 活检可以帮助区分良性炎症和恶性瘤,从而避免不必要的上腺切除术.
- 这一案例强调了在不确定的上腺质量诊断中考虑活检的重要性.
相关概念视频
Anatomy of the Adrenal Glands
The adrenal or supra-renal glands, situated above the kidneys and aligned with the twelfth rib, are paired pyramid-shaped structures crucial for the body's stress response. During stress, these glands secrete hormones vital for adaptive physiological reactions.
These glands possess a distinctive yellow tinge due to the stored cholesterol and fatty acids required for hormone synthesis. They are encased in a fibrous capsule and cushioned by fat.
The adrenal gland comprises two distinct regions...
These glands possess a distinctive yellow tinge due to the stored cholesterol and fatty acids required for hormone synthesis. They are encased in a fibrous capsule and cushioned by fat.
The adrenal gland comprises two distinct regions...
Hormones of the Adrenal Glands
Adrenal hormones play a pivotal role in maintaining the body's electrolyte balance and orchestrating responses to stress, showcasing the intricate functions of the adrenal cortex and medulla.
The adrenal cortex, a powerhouse of hormone synthesis, generates over two dozen corticosteroid hormones. The zona glomerulosa produces mineralocorticoids, exemplified by aldosterone, influencing the electrolyte composition of body fluids. The synthesis of glucocorticoids such as cortisol and corticosterone...
The adrenal cortex, a powerhouse of hormone synthesis, generates over two dozen corticosteroid hormones. The zona glomerulosa produces mineralocorticoids, exemplified by aldosterone, influencing the electrolyte composition of body fluids. The synthesis of glucocorticoids such as cortisol and corticosterone...
Adrenal Gland Disorders
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...


