单侧上腺附带瘤的特征:荷尔蒙分析,计算机断层扫描和磁共振成像相关性
Ayoub Gasmi1, Ach Taieb2, Fatma Hattab1
1Department of Radiology, University Hospital of Farhat Hached Sousse, Sousse, TUN.
Cureus
|February 2, 2026
概括
上腺副瘤很常见,大多数是良性腺瘤. 图像特征可以帮助区分恶性病变和识别皮质醇分泌,指导对这些上腺质量的治疗决策.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 上腺偶发性瘤是其他疾病的成像期间偶然发现的上腺质量.
- 虽然往往是良性的,但有些需要由于荷尔蒙活动或恶性瘤的干预.
研究的目的:
- 分析上腺意外瘤的临床荷尔蒙和放射性特征.
- 为了确定可预测恶性瘤的放射性特征.
- 为了比较非功能性腺瘤和皮质醇分泌腺瘤的放射性特征.
主要方法:
- 对153名患有上腺瘤 (2015-2023) 的成年患者进行了回顾性分析.
- 收集临床,荷尔蒙和成像数据.
- 基于瘤功能和组织学的放射性特征的比较.
主要成果:
- 最常见的诊断是腺瘤 (80.4%). 自主皮质醇分泌发生在 17% 的病例中.
- 上皮层癌 (3.9%) 的平均尺寸明显大于缺乏脂质的腺瘤 (61毫米对27毫米).
- 皮质醇分泌腺瘤较大,更常见的是缺乏脂质,并与 contralateral 上腺缩和肝硬化相关.
结论:
- 这些发现与关于上腺意外瘤的现有文献一致.
- 非功能性上腺腺瘤是主要病因.
- 图像检测对于区分良性/恶性病变和检测皮质醇分泌至关重要.
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