肾上腺意外瘤指南Adrenal-Incidentaloma-guidelines.ppt

AdrenalIncidentalomaguidelinesAACE/AAES

OutlineDefinitionPrevalenceAnatomyandPhysiologyReviewDiagnosticWorkupsConclusions

Definition“Masslesiongreaterthan1cmindiameterdiscovered“accidentally”duringaradiographicexaminationperformedforindicationsotherthananevaluationforadrenaldisease.”Managementoftheclinicallyinapparentadrenalmass(incidentaloma).NIHState-of-the-ScienceConferenceStatementFeb4-6,2002.

PrevalenceAutopsies:87,065cases:6%withadrenaladenomasAbdominalCT(61,054CTscansreviewed):4%withadrenaladenomasNowapproachesthe8.7%incide