Clinical analysis in 116 patients with adrenal incidentaloma
10.3760/cma.j.issn.1673-4904.2018.09.008
- VernacularTitle:肾上腺意外瘤116例临床分析
- Author:
Nan LIU
1
;
Guanghui SUN
;
Zhiyu LIU
;
Benli SU
;
Changjiang LI
;
Ying LIU
;
Song LENG
;
Xiaoyan LIU
Author Information
1. 116023,大连医科大学附属第二医院内分泌科
- Keywords:
Adrenal gland neoplasms;
Hypertension;
Retrospective studies;
Endocrine function
- From:
Chinese Journal of Postgraduates of Medicine
2018;41(9):797-799
- CountryChina
- Language:Chinese
-
Abstract:
Objective To reveal pathogenesis and etiology in adrenal incidentaloma. Methods The clinical data of 116 patients with adrenal incidentaloma from January 1, 2015 to January 1, 2017 were retrospectively analyzed. Results In 116 patients with adrenal incidentaloma, 49 cases (42.2％) were male and 67 cases (57.7％) were female; there were 14 cases (12.1％) aged from 20 to 40, 63 cases (54.3％) aged from 40 to 60, and 39 cases (33.6％) > 60 years. Forty-three patients (37.1％) were found by health examination, 26 patients (22.4％) were found because of hypertension, 27 patients (23.3％) were found by CT detection because of other diseases, and 20 cases (17.2％ ) were found because of other reasons. The result of endocrine function examination showed that nonfunctioning adrenal tumor was in 56 cases (48.3％); functional adrenal tumor was in 44 cases (37.9％), among whom primary aldosteronism was in 27 cases, Cushing syndrome was in 10 cases, and pheochromocytoma was in 7 cases;nonfunctioning non- adenoma was in 16 cases (13.8％ ). Conclusions It is frequent that the adrenal incidentaloma is found by health examination. The patients with adrenal incidentaloma should examine the endocrine function and identify the benign or malignant. And if necessary, surgical treatment should be performed.
