INCIDENTALOMAS AND HORMONE-INACTIVE TUMORS OF ADRENAL GLANDS


Cite item

Full Text

Abstract

The article considers the definition, epidemiology, etiopathogenesis and differential diagnosis of incidentalomas and hormone-inactive tumors (HIT) of adrenal glands. The existence of differences between incedentalomas and HIT is emphasized. It is shown that term "incidentaloma" is collective concept and indicates that the identified (usually by accident) tumor has not led to typical clinical picture of endogenous hypercorticism, primary hyperaldosteronism, phaeochromocytoma, and feminizing or virilizing tumor. This diagnosis should be considered only as provisional diagnosis; therefore, physician should focus on a particular set of tests for clinical diagnosis and treatment-management of the patient (surgery, observation).

References

  1. Ветшев П.С., Коваленко Е.И., Полунин Г.В. Рациональная хирургическая тактика при случайно выявленных опухолях надпочечников // Вестник Национального медико-хирургического центра им. Н.И. Пирогова, 2007. Т. 2. № 1. С. 81-85.
  2. Ветшев П.С., Симоненко В.Б., Ипполитов Л.И., Ветшев С.П., Копосов М.А. Артериальная гипертония, обусловленная катехоламинсекретирующими опухолями // Медицинская помощь 2004. № 6. С. 11-16.
  3. Дедов И.И., Мельниченко Г.А., Кузнецов Н.С., Бельцевич Д.Г. Феохромоцитома: патогенез, клиника, диагностика, лечение. М., 2003. 36 с.
  4. Кондрашин С.А., Ветшев С.П., Полунин Г.В. Артериальная гипертония надпочечникового генеза: современные подходы к диагностике и лечению // Вестник Национального медико-хирургического центра им. Н.И. Пирогова 2007. Т. 2. № 1. С. 54-60.
  5. Мишнев О.Д., Щеголев А.И. Патологическая анатомия опухолей надпочечников. М., 2005. 88 с.
  6. Онкология: национальное руководство / Под ред. В.И. Чиссова, М.И. Давыдова. М., 2008. 1072 с.
  7. Хирургическая эндокринология: руководство / Под ред. А.П. Калинина, Н.А. Майстренко, П.С. Ветшева. СПб., 2004. 960 с.
  8. Linos D, van Heerden JA. Adrenal Glands: Diagnostic Aspects and Surgical Therapy. Springer 2005:362.
  9. Chrisoulidou A, Kaltsas G, Ilias I. The diagnosis and treatment of malignant phaeochromocytoma and paraganglioma. Endocrinol-Related Cancer 2007;14:569-85.
  10. Schwartz AE, Pertsemlidis D, Gagner M. Endocrine surgery. Marcell Decker 2004:711.
  11. Gordon RD, Mulatero P, Stowasser M, et al. Increased diagnosis of primary aldosteronism, including surgically correctable forms, in centers from five сontinents. J Clin Endocrinol Metab 2004;89(3):1045-50.
  12. Guerrieri M, De Sanctis A, Crosta F. Adrenal Incidentaloma: surgical update. J Endocrinol Invest 2007;30:200-04.
  13. Kebebew E, Siperstein AE, Clarc OH, et. al. Results of laparoscopic adrenalectomy for suspected and unsuspected malignant adrenal neoplasms. Arch Surg 2002;137:948-53.
  14. Linos D, van Heerden JA. Adrenal glands. Diagnostic aspects and surgical therapy. Springer-Verlag, Berlin 2005.
  15. Pacak K, Lenders JWM, Eisenhofer G. Pheochromocytoma. Blackwell Publishing 2007:172.
  16. Quayle FJ, Spitler JA, Pierce RA. Needle biopsy of incidentally discovered adrenal masses is rarely informative and potentially hazardous. Surgery 2007;142:497-504.
  17. Renal and adrenal tumors: biology and management. Еd. A. Belldegrun. Oxford University Press, 2003:614.
  18. Young WF, Stanson AW, Thompson GB, et al. Role for adrenal venous sampling in primary aldosteronism. Surgery 2004;136:1227-35.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2011 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies