非典型上腺质量的临床和放射性特征-一个多中心的回顾性研究
Vania Balderrama-Brondani1, Ruaa Al-Ward1, Katja Kiseljak-Vassiliades2
1Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
The Journal of clinical endocrinology and metabolism
|November 6, 2024
概括
非典型的上腺体质量 (AAMs) 有未知的恶性潜力. 每年2.68mm的增长率可以预测恶性瘤,这表明AAMs需要长期跟踪.
科学领域:
- 上腺体成像成像 上腺体成像
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 非典型上腺质 (AAMs) 的自然史和恶性潜力在很大程度上是未知的.
- AAMs是由特定的成像特征定义的,包括CT上的尺寸和前对比衰减.
- 排除标准的应用是为了确保研究群体集中,不包括已知的恶性瘤和特定的上腺疾病.
研究的目的:
- 为了描述AAMs的放射性特征.
- 确定与AAMs相关的临床结果.
- 评估AAMs的恶性潜力.
主要方法:
- 一个多中心的回顾性研究,包括217名18岁及以上的患者 (224个群体).
- AAMs被定义为直径为10-39毫米,前对比CT衰减>10 HU.
- 对71个群体进行了病理评估,分析了生长率和对比洗.
主要成果:
- 上腺腺瘤 (17%) 和上腺皮癌 (ACC) (11.2%) 是最常见的诊断.
- AAM的中位数增长率为0.3毫米/年,ACC显著高 (12.9毫米/年).
- 增长率截止值为2.68mm/年,在预测恶性瘤方面表现出高准确度 (AUC为0.939).
结论:
- AAMs具有显著的恶性潜力,如果不进行外科手术,就需要长期的随访.
- 对比性冲洗不是在AAM中恶性潜力的可靠预测指标.
- 增长率值可以帮助识别潜在的恶性AMS.
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