Incidentalomas adrenales

  1. C. Guillín 1
  2. I. Bernabeu 1
  3. I.A. Rodríguez-Gómez 2
  4. F.F. Casanueva 1
  1. 1 Complexo Hospitalario Universitario de Santiago
    info

    Complexo Hospitalario Universitario de Santiago

    Santiago de Compostela, España

    ROR https://ror.org/00mpdg388

  2. 2 Unidad de Endocrinología y Nutrición. Hospital HM Modelo. La Coruña. España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Ano de publicación: 2016

Título do exemplar: Enfermedades endocrinológicas y metabólicas (II) Patología suprarrenal

Serie: 12

Número: 14

Páxinas: 811-815

Tipo: Artigo

DOI: 10.1016/J.MED.2016.06.015 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado

Obxectivos de Desenvolvemento Sustentable

Resumo

Introduction Adrenal incidentalomas are adrenal masses greater than 1 cm, which are discovered in the context of an imaging test requested for another reason. History and clinical examination Usually patients whith adrenal incidentalomas are asymptomatic at diagnosis. Most masses are benign adenomas (70% nonfunctioning), and more rarely pheochromocytomas, or metastatic carcinomas. Evaluation It is necessary to determine whether the incidentaloma is a functioning mass, as well as its probability of malignancy, depending on the biochemical and imaging results, respectively. Treatment Treatment of choice in functioning, large and / or growing masses is surgery. Imaging and biochemical monitoring is indicated for the rest of the cases.

Referencias bibliográficas

  • Boland GW, Dwamena BA, Sangwaiya MJ, Goehler AG, Blake MA, Hahn PF, et al. Characterization of adrenal masses by using FDG PET: a systematic review and meta-analysis of diagnostic test performance. Radiology. 2011;259:117-26.
  • Kronenberg HM, Melmed S, Polonsky KS, Larsen R. Williams tratado de endocrinología. 11ª ed. Barcelona: Elsevier Saunders; 2009.
  • Mansmann G, Lau J, Balk E, Rothberg M, Miyachi Y, Bornstein SR. The clinically inapparent adrenal mass: update in diagnosis and management. Endoc Rev. 2004;25:309-40.
  • Nieman LK. Approach to the patient with an adrenal incidenta-loma. J Clin Endocrinol Metab. 2010;95:4106-13.
  • Song JH, Mayo-Smith WW. Incidentally discovered adrenal mass. Radiol Clin North Am. 2011;49:361-8.
  • Young WF. Clinical practice. The incidentally discovered adre-nal mass. N Engl J Med. 2007;356:601-10.
Fonte de datos: Dialnet