Adrenal Incidentaloma

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Adrenal Incidentaloma

机译：肾上腺辅助oma

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A 42-year-old woman has been in a motor vehicle accident in which her seat belt tightened. She has upper abdominal pain and is evaluated with computed tomography (CT). This imaging shows no evidence of intraabdominal trauma but reveals a well-circumscribed and homogeneous left adrenal mass that is 3.2 cm in diameter. The mass has an attenuation value of 7 Hounsfield units on unenhanced CT. The patient's history is remarkable for obesity and newly diagnosed mild hypertension. On physical examination, the blood pressure is 142/90 mm Hg. There is sternal and upper abdominal bruising but no striae, moon facies, or fat accumulation over the dorsocervical spine ("buffalo hump"). How should this patient be further evaluated and treated?

机译：一名42岁的女性在一次机动车事故中系紧了安全带。她有上腹部疼痛，并接受了计算机断层扫描（CT）评估。这张影像没有显示腹部创伤的证据，但显示了一个边界清晰、均匀的左肾上腺肿块，直径为3.2厘米。在未增强CT上，肿块的衰减值为7个Hounsfield单位。该患者的肥胖史和新诊断的轻度高血压史值得注意。体检时，血压为142/90毫米汞柱。胸骨和上腹部有瘀伤，但没有条纹、月相或背颈脊柱上的脂肪堆积（“水牛驼峰”）。该如何进一步评估和治疗该患者？

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《The New England journal of medicine》 |2021年第16期|共10页
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Kebebew Electron;
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Stanford Univ Dept Surg Sch Med Div Gen Surg 300 Pasteur Dr H3642 Stanford CA 94305 USA;

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正文语种 eng
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1. ADRENAL INCIDENTALOMAS: ANALYSIS OF 126 CASES [J] . 李汉忠, 严维刚, 曾正陪, 中国医学科学杂志（英文版） . 2003,第004期
2. Primary Adrenal Insufficiency Due to Bilateral Adrenal Hematomas in a Patient with Primary Antiphospholipid Syndrome [J] . Xue-Ying Chu, Lu Zhang, Xiao-Xi Yang, 中华医学杂志（英文版） . 2017,第020期
3. Adrenal incidentalomas: imaging challenges-role of MDCT scan versus MRI in evaluating adrenal incidentalomas [J] . Nawar Monica Maher Amin, Hanna Sameh Abdel Aziz Zaky, El-Sawy Shereen Sadik, The Egyptian Journal of Radiology and Nuclear Medicine . 2021,第1期

机译：肾上腺Incidentalomas：MDCT扫描与MRI在评估肾上腺Iffintalomas时的成像 - 作用
4. Adrenal incidentaloma. Part 1. Computed tomography of adrenal incidentaloma: the possibilities and difficulties of differential diagnosis [J] . Buryakina S. A., Tarbaeva N. V, Volevodz N. N., Терапевтичесκий архив . 2020,第12Pta12期

机译：肾上腺偶然瘤。第1部分。肾上腺辐射瘤的计算断层扫描：鉴别诊断的可能性和困难
5. Adrenal incidentaloma. Part 1. Computed tomography of adrenal incidentaloma: the possibilities and difficulties of differential diagnosis [J] . Buryakina S. A., Tarbaeva N. V, Volevodz N. N., Терапевтичесκий архив . 2020,第12期

机译：肾上腺偶然瘤。第1部分。肾上腺辐射瘤的计算断层扫描：鉴别诊断的可能性和困难
6. The Incidentalomas: Splenic and Adrenal Masses [C] . Conference of the American College of Veterinary Internal Medicine (ACVIM) . 2017

机译：偶事：脾和肾上腺肿块
7. Is there an increased risk of cardiovascular disease in patients with functional adrenal incidentalomas vs. nonfunctional adrenal incidentalomas. [D] . Khan, Tooba Fatima. 2015

机译：功能性肾上腺偶发瘤与非功能性肾上腺偶发瘤患者心血管疾病的风险增加了吗？
8. A functioning adrenal adenoma and pheochromocytoma in the same adrenal gland: two discrete adrenal incidentalomas [O] . Ga Eun Park, Yoon Young Cho, Yun Soo Hong, 2015

机译：同一肾上腺中功能正常的肾上腺腺瘤和嗜铬细胞瘤：两个离散的肾上腺偶发瘤
9. Abordagem laparoscópica de incidentaloma de adrenal: um caso raro de ganglioneuroma = Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [O] . Martins Manoela Beatriz 2009

机译：腹腔镜手术治疗肾上腺意外瘤：一种罕见的神经节细胞瘤病例=腹腔镜手术治疗肾上腺意外瘤：罕见的神经节细胞瘤
10. Metabolomics: A Window for Understanding Long Term Physical Consequences of Distrubed Sleep and Hypothalamic Pituitary Adrenal Function in Posttraumatic Stress. [R] . Inslicht, S. 2017

机译：代谢组学：了解创伤后应激中分离的睡眠和下丘脑垂体肾上腺功能的长期物理后果的窗口。

Adrenal Incidentaloma

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