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首页> 外文期刊>Endocrine journal >Abrupt Enlargement of Adrenal Incidentaloma: A Case of Isolated Adrenal Metastasis
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Abrupt Enlargement of Adrenal Incidentaloma: A Case of Isolated Adrenal Metastasis

机译：肾上腺偶发瘤突然扩大：一例孤立的肾上腺转移瘤

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References(15) Cited-By(7) A 56-year-old Japanese man was referred for examination of right adrenal tumor (3 cm). He had no apparent preexisting cancer by radiological workup and accordingly, the patient was considered as a nonfunctioning adrenocortical adenoma and scheduled for periodic CT scans every 6 months. However, five months after the initial diagnosis the patient complained of severe right back pain with remarkable enlargement of both adrenals (~20-fold volume). Although the origin of adrenal tumor was uncertain by pathological workup, positron emission tomography (PET) scan with 18F-2-fluoro-D-deoxyglucose (FDG) eventually revealed a hot spot on left upper lung, which was consistent with a lesion of thickened bulla wall observed by chest CT. The present case is a very rare example of abrupt enlargement of bilateral adrenals due to clinically isolated adrenal metastasis, suggesting the requirement of frequent observation with greatest care regarding morphologic changes of adrenal incidentalomas.
机译：参考文献（15）被引（7）一名56岁的日本男子被要求检查右肾上腺肿瘤（3厘米）。通过放射学检查，他没有明显的既存癌症，因此，该患者被视为无功能的肾上腺皮质腺瘤，并计划每6个月进行定期CT扫描。然而，在最初诊断后五个月，患者主诉严重的右背痛，两个肾上腺均明显增大（约20倍体积）。尽管通过病理检查不确定肾上腺肿瘤的起源，但用18F-2-氟-D-脱氧葡萄糖（FDG）进行的正电子发射断层扫描（PET）扫描最终显示左上肺有热点，这与病变增厚相一致。胸部CT观察大疱壁。本病例是由于临床上孤立的肾上腺转移而引起的双侧肾上腺突然增大的非常罕见的例子，提示需要对肾上腺偶发瘤的形态学变化进行经常观察并格外小心。

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