کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6098856 | 1210971 | 2014 | 11 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Conduite à tenir devant un incidentalome surrénalien
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
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چکیده انگلیسی
Improvements in medical imaging have resulted in the incidental discovery of many silent and unrecognized adrenal tumors. The term “adrenal incidentaloma” (AI) is applied to any adrenal mass â¥Â 1 cm in its longest axis that is discovered incidentally during abdominal imaging that was not performed to specifically evaluate adrenal pathology. These incidentalomas may be either secretory or non-secretory, benign or malignant. Distinctive characteristics of these lesions must be determined by the clinician to determine appropriate management. Such distinctions are based on laboratory findings and imaging, principally CT with and without contrast injection. Investigations must be carefully chosen to avoid ordering unnecessary and expensive tests for too many patients while, at the same time, avoiding the risk of failing to diagnose a malignant or secreting tumor. These examinations will determine patient care: surgery or surveillance. When simple surveillance is chosen, specific criteria must be met with regard to diagnostic modalities (clinical, imaging, laboratory testing) and its duration.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal de Chirurgie Viscérale - Volume 151, Issue 5, October 2014, Pages 366-376
Journal: Journal de Chirurgie Viscérale - Volume 151, Issue 5, October 2014, Pages 366-376
نویسندگان
F. Menegaux, N. Chéreau, J.-L. Peix, N. Christou, J.-C. Lifante, N.-C. Paladino, F. Sebag, C. Ghander, C. Trésallet, M. Mathonnet,