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DOI: 10.1055/a-1370-6005
Nebennieren-Inzidentalom – Differenzialdiagnose und Management
Adrenal incidentaloma – differential diagnosis and managementRaumforderungen der Nebenniere sind ein häufiger Zufallsbefund in der Schnittbildgebung. Dieser Artikel erläutert, welche Diagnostik notwendig ist (und welche nicht), um therapiebedürftige Raumforderungen zu identifizieren, und wie anschließend das weitere Management erfolgt.
Abstract
Adrenal masses are common incidental findings on imaging procedures.
In most cases, adrenal incidentalomas are nonfunctioning adrenocortical adenomas, but in up to 20 % they require therapeutic intervention. The aim of this article is to provide essential guidance for clinicians regarding clinical management of patients with adrenal incidentalomas based on the respective current clinical guidelines. The following main questions are addressed: How to distinguish a nonfunctioning incidentaloma from a functioning one and how to assess risk of malignancy? How to define and manage low-level autonomous cortisol secretion, formerly called “subclinical” Cushing’s syndrome? Which patients have to be treated surgically and which approach should be used? What follow-up is indicated if the adrenal incidentaloma is not surgically removed?
Schlüsselwörter
Nebennieren-Adenom - Cortisol - Hyperkortisolismus - Phäochromozytom - Nebennieren-KarzinomPublikationsverlauf
Artikel online veröffentlicht:
31. Januar 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
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