Management of adrenal incidentalomas: Working through uncertainty

被引：16

作者：

Cambos, Sophie ^{[1
]}

Tabarin, Antoine ^{[1
,2
]}

机构：

[1] Univ Hosp Bordeaux, Dept Endocrinol Diabet & Nutr, F-33604 Pessac, France

[2] Univ Bordeaux, Neuroctr Magendie, Inserm U1215, 146 Rue Leo Saignat, F-33076 Bordeaux, France

来源：

BEST PRACTICE & RESEARCH CLINICAL ENDOCRINOLOGY & METABOLISM | 2020年 / 34卷 / 03期

关键词：

adrenal incidentaloma; pheochromocytoma; non-functioning adrenal tumor; dexamethasone suppression test; adrenal cancer; autonomous cortisol secretion; AUTONOMOUS CORTISOL SECRETION; SUBCLINICAL CUSHINGS-SYNDROME; CARDIOVASCULAR RISK-FACTORS; SKELETAL-MUSCLE MASS; POSTSURGICAL HYPOCORTISOLISM; VERTEBRAL FRACTURES; INCREASED MORTALITY; UNENHANCED CT; HYPERCORTISOLISM; ASSAY;

D O I：

10.1016/j.beem.2020.101427

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The European society of endocrinology, in association with the European network for the study of adrenal tumors, published recommendations for the diagnosis and treatment of adrenal incidentalomas in 2016. A thorough and critical analysis of the literature was performed to establish evidence-based recommendations and expert suggestions with the aim of avoiding 'overdiagnosis' and 'over-treatment' and to reduce unnecessary investigations, surgery and follow-up. The purpose of this review is to reconsider several recommendations that are open to debate, such as imaging of adrenal incidentalomas, diagnosis of pheochromocytoma, diagnosis and treatment of autonomous cortisol-secreting tumors, investigations of bilateral AI and follow-up of non-operated AIs, based on studies published after the release of the recommendations. (C) 2020 Elsevier Ltd. All rights reserved.

引用

页数：12

共 61 条

[1] LARGE ADRENAL INCIDENTALOMAS REQUIRE A DEDICATED DIAGNOSTIC PROCEDURE
Amodru, Vincent
Taieb, David
Guerin, Carole
Paladino, Nunzia Cinzia
Brue, Thierry
Sebag, Frederic
Castinetti, Frederic
[J]. ENDOCRINE PRACTICE, 2019, 25 (07) : 669 - 677
[2] Patients With Apparently Nonfunctioning Adrenal Incidentalomas May Be at Increased Cardiovascular Risk Due to Excessive Cortisol Secretion
Androulakis, Ioannis I.
Kaltsas, Gregory A.
Kollias, Georgios E.
Markou, Athina C.
Gouli, Aggeliki K.
Thomas, Dimitrios A.
Alexandraki, Krystallenia I.
Papamichael, Christos M.
Hadjidakis, Dimitrios J.
Piaditis, George P.
[J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2014, 99 (08) : 2754 - 2762
[3] Cardiometabolic profile of non-functioning and autonomous cortisol-secreting adrenal incidentalomas. Is the cardiometabolic risk similar or are there differences?
Araujo-Castro, Marta
Robles Lazaro, Cristina
Parra Ramirez, Paola
Cuesta Hernandez, Martin
Sampedro Nunez, Miguel Antonio
Marazuela, Monica
[J]. ENDOCRINE, 2019, 66 (03) : 650 - 659
[4] Improvement of cardiovascular risk factors after adrenalectomy in patients with adrenal tumors and subclinical Cushing's syndrome: a systematic review and meta-analysis
Bancos, Irina
Alahdab, Fares
Crowley, Rachel K.
Chortis, Vasileios
Delivanis, Danae A.
Erickson, Dana
Natt, Neena
Terzolo, Massimo
Arlt, Wiebke
Young, William F., Jr.
Murad, M. Hassan
[J]. EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2016, 175 (06) : R283 - R295
[5] From benign adrenal incidentaloma to adrenocortical carcinoma: an exceptional random event
Belmihoub, I.
Silvera, S.
Sibony, M.
Dousset, B.
Legmann, P.
Bertagna, X.
Bertherat, J.
Assie, G.
[J]. EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2017, 176 (06) : K15 - K19
[6] MIFEPRISTONE TREATMENT FOR MILD AUTONOMOUS CORTISOL SECRETION DUE TO ADRENAL ADENOMAS: A PILOT STUDY
Belokovskay, Regina
Ravikumar, Aarti
Arumugam, Dushyanthy
Izadmehr, Sudeh
Goddard, Gillian M.
Geer, Eliza B.
Levine, Alice C.
[J]. ENDOCRINE PRACTICE, 2019, 25 (08) : 846 - 853
[7] Unenhanced CT imaging is highly sensitive to exclude pheochromocytoma: a multicenter study
Buitenwerf, Edward
Korteweg, Tijmen
Visser, Anneke
Haag, Charlotte M. S. C.
Feelders, Richard A.
Timmers, Henri J. L. M.
Canu, Letizia
Haak, Harm R.
Bisschop, Peter H. L. T.
Eekhoff, Elisabeth M. W.
Corssmit, Eleonora P. M.
Krak, Nanda C.
Rasenberg, Elise
van den Bergh, Janneke
Stoker, Jaap
Greuter, Marcel J. W.
Dullaart, Robin P. F.
Links, Thera P.
Kerstens, Michiel N.
[J]. EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2018, 178 (05) : 431 - 437
[8] CT Characteristics of Pheochromocytoma: Relevance for the Evaluation of Adrenal Incidentaloma
Canu, Letizia
Van Hemert, Janna A. W.
Kerstens, Michiel N.
Hartman, Robert P.
Khanna, Aakanksha
Kraljevic, Ivana
Kastelan, Darko
Badiu, Corin
Ambroziak, Urszula
Tabarin, Antoine
Haissaguerre, Magalie
Buitenwerf, Edward
Visser, Anneke
Mannelli, Massimo
Arlt, Wiebke
Chortis, Vasileios
Bourdeau, Isabelle
Gagnon, Nadia
Buchy, Marie
Borson-Chazot, Francoise
Deutschbein, Timo
Fassnacht, Martin
Hubalewska-Dydejczyk, Alicja
Motyka, Marcin
Rzepka, Ewelina
Casey, Ruth T.
Challis, Benjamin G.
Quinkler, Marcus
Vroonen, Laurent
Spyroglou, Ariadni
Beuschlein, Felix
Lamas, Cristina
Young, William F.
Bancos, Irina
Timmers, Henri J. L. M.
[J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2019, 104 (02) : 312 - 318
[9] Imaging and imaging-based treatment of pheochromocytoma and paraganglioma
Castinetti, Frederic
Kroiss, Alexander
Kumar, Rakesh
Pacak, Karel
Taieb, David
[J]. ENDOCRINE-RELATED CANCER, 2015, 22 (04) : T135 - T145
[10] Daily salivary cortisol and cortisone rhythm in patients with adrenal incidentaloma
Ceccato, Filippo
Barbot, Mattia
Albiger, Nora
Antonelli, Giorgia
Zilio, Marialuisa
Todeschini, Marco
Regazzo, Daniela
Plebani, Mario
Lacognata, Carmelo
Iacobone, Maurizio
Mantero, Franco
Boscaro, Marco
Scaroni, Carla
[J]. ENDOCRINE, 2018, 59 (03) : 510 - 519

← 1 2 3 4 5 6 7 →