Adrenal incidentaloma. Part 2. Modern concepts of computed tomography semiotics of adrenal gland incidentalomas: algorithm of differential diagnosis
- 作者: Buryakina S.1, Tarbaeva N.1, Volevodz N.1, Karmazanovsky G.2, Kovalevich L.1, Shestakova M.1, Dedov I.1
-
隶属关系:
- Endocrinology Research Centre
- Vishnevsky National Medical Research Center of Surgery
- 期: 卷 93, 编号 11 (2021)
- 页面: 1381-1388
- 栏目: Reviews
- URL: https://journals.rcsi.science/0040-3660/article/view/99715
- DOI: https://doi.org/10.26442/00403660.2021.11.201169
- ID: 99715
如何引用文章
全文:
详细
While accidentally detecting an adrenal gland lesion (incidentaloma) during a routine computed tomography (CT) scan, the radiologist should correctly interpret revealed changes. The most common lesion is adenoma with high lipid content, but a lipid poor adenoma, pheochromocytoma, adrenocortical cancer, metastasis and other less common adrenal diseases are also worth of attention and require detailed knowledge of their CT semiotics. The article presents criteria of differential diagnosis of the adrenal incidentalomas on the basis of which an algorithm of differential diagnosis was proposed for the most common adrenal lesions.
作者简介
Svetlana Buryakina
Endocrinology Research Centre
编辑信件的主要联系方式.
Email: sburyakina@yandex.ru
ORCID iD: 0000-0001-9065-7791
канд. мед. наук, врач-рентгенолог консультативно-диагностического отд-ния ФГБУ «НМИЦ эндокринологии»
俄罗斯联邦, MoscowNatalia Tarbaeva
Endocrinology Research Centre
Email: sburyakina@yandex.ru
ORCID iD: 0000-0001-7965-9454
канд. мед. наук, врач-рентгенолог, зав. отд-нием компьютерной и магнитно-резонансной томографии ФГБУ «НМИЦ эндокринологии
俄罗斯联邦, MoscowNatalia Volevodz
Endocrinology Research Centre
Email: sburyakina@yandex.ru
ORCID iD: 0000-0001-6470-6318
д-р мед. наук, проф., зам. дир. по научной и консультативно-диагностической работе ФГБУ «НМИЦ эндокринологии»
俄罗斯联邦, MoscowGrigorii Karmazanovsky
Vishnevsky National Medical Research Center of Surgery
Email: sburyakina@yandex.ru
ORCID iD: 0000-0002-9357-0998
чл.-кор. РАН, д-р мед. наук, проф., зав. отд-нием рентгенологии и магнитно-резонансных исследований ФГБУ «НМИЦ хирургии им. А.В. Вишневского»
俄罗斯联邦, MoscowLiliia Kovalevich
Endocrinology Research Centre
Email: sburyakina@yandex.ru
ORCID iD: 0000-0001-8958-8223
врач-рентгенолог лечебно-реабилитационного отд. ФГБУ «НМИЦ эндокринологии»
俄罗斯联邦, MoscowMarina Shestakova
Endocrinology Research Centre
Email: sburyakina@yandex.ru
ORCID iD: 0000-0002-5057-127X
акад. РАН, д-р мед. наук, проф., зав. каф. диабетологии и диетологии, зам. дир. – дир. Института диабета ФГБУ «НМИЦ эндокринологии»
俄罗斯联邦, MoscowIvan Dedov
Endocrinology Research Centre
Email: sburyakina@yandex.ru
ORCID iD: 0000-0002-8175-7886
акад. РАН, д-р мед наук, проф., президент ФГБУ «НМИЦ эндокринологии»
俄罗斯联邦, Moscow参考
- Low G, Dhliwayo H, Lomas DJ. Adrenal neoplasms. Clin Radiol. 2012;67(10):988-1000. doi: 10.1016/j.crad.2012.02.005
- Кузнецов Н.С., Бельцевич Д.Г., Ванушко В.Э., и др. Дифференциальная диагностика инциденталом надпочечников. Эндокринная хирургия. 2011;1:5-16 [Kuznetsov NS, Beltsevich DG, Vanushko VE, et al. Differential diagnostics of adrenal incedentaloma. Endocrine surgery. 2011;1:5-16 (in Russian)]. doi: 10.14341/2306-3513- 2011-1-5-16
- Johnson PT, Horton KM, Fishman EK. Adrenal imaging with multidetector CT: evidence-based protocol optimization and interpretative practice. Radiographics. 2009;29(5):1319-31. doi: 10.1148/rg.295095026
- Pena CS, Boland GW, Hahn PF, et al. Characterization of indeterminate (lipid-poor) adrenal masses: use of washout characteristics at contrastenhanced CT. Radiology. 2000;217(3):798-802. doi: 10.1148/radiology.217.3.r00dc29798
- Caoili EM, Korobkin M, Francis IR, et al. Delayed enhanced CT of lipid-poor adrenal adenomas. Am J Roentgenol. 2000;175(5):1411-5. doi: 10.2214/ajr.175.5.1751411
- Caoili EM, Korobkin M, Francis IR, et al. Adrenal masses: characterization with combined unenhanced and delayed enhanced CT. Radiology. 2002;222(3):629-33. doi: 10.1148/radiol.2223010766
- Араблинский А.В., Сидорова Ю.В. Компьютерная и магнитно-резонансная томография в диагностике заболеваний надпочечников. Сибирский онкологический журнал. 2011;2:8-9 [Arablinsky AV, Sidorova YuV. Computer and magnetic resonance tomography in the diagnosis of adrenal diseases. Sibirskij onkologicheskij zhurnal. 2011;2:8-9 (in Russian)].
- Berland LL, Silverman SG, Gore RM, et al. Managing incidental findings on abdominal CT: White Paper of the American College of Radiology Incidental Findings Committee. J Am Coll Radiol. 2010;7(10):754-73. doi: 10.1016/j.jacr.2010.06.013
- Taffel M, Haji-Momenian S, Nikolaidis P, Miller FH. Adrenal imaging: a comprehensive review. Radiol Clin North Am. 2012;50(2):219-43. doi: 10.1016/j.rcl.2012.02.009
- Daneshmand S, Quek ML. Adrenal myelolipoma: diagnosis and management. Urol J. 2006;3(2):71-4.
- Дубова Е.А., Щеголев А.И., Кармазановский Г.Г., и др. Миелолипома надпочечника. Медицинская визуализация. 2006;1:22-8 [Dubova EA, Shchegolev AI, Karmazanovsky GG, et al. Mielolipoma adrenal gland. Meditsinskaya vizualizatsiya. 2006;1:22-8 (in Russian)].
- Cyran KM, Kenney PJ, Memel DS, Yacoub I. Adrenal myelolipoma. Am J Roentgenol. 1996;166(2):395-400. doi: 10.2214/ajr.166.2.8553954
- Johnson PT, Horton KM, Fishman EK. Adrenal mass imaging with multidector CT: pathologic conditions, pearls and pitfalls. Radiographics. 2009;29(5):1333-51. doi: 10.1148/rg.295095027
- Blake MA, Kalra MK, Maher MM, et al. Pheochromocytoma: an imaging chameleon. Radiographics. 2004;24(1):87-99. doi: 10.1148/rg.24si045506
- Boland GW. Adrenal imaging: from Addison to algorithms. Radiol Clin North Am. 2011;49(3):511-28. doi: 10.1016/j.rcl.2011.02.010
- Bharwani N, Rockall AG, Sahdev A, et al. Adrenocortical carcinoma: the range of appearances on CT and MRI. Am J Roentgenol. 2011;196(6):706-14. doi: 10.2214/AJR.10.5540
- Fishman EK, Deutch BM, Hartman DS, et al. Primary adrenocortical carcinoma: CT evaluation with clinical correlation. Am J Roentgenol. 1987;148(3):531-5. doi: 10.2214/ajr.148.3.531
- Ng L, Libertino JM. Adrenocortical carcinoma: diagnosis, evaluation and treatment. J Urol. 2003;169:5-11. doi: 10.1097/01.ju.0000030148.59051.35
- Park JR, Eggert A, Caron H. Neuroblastoma: biology, prognosis, and treatment. Hematol Oncol Clin North Am. 2010;24(1):65-86. doi: 10.1016/j.hoc.2009.11.011
- Enzinger FM, Weiss SW. Ganglioneuroma. In: Soft Tissue Tumors. 3rd ed. Mosby-Year Book, St Louis, 1995; p. 929-64.
- Geoerger B, Hero B, Harms D, et al. Metabolic activity and clinical features of primary ganglioneuromas. Cancer. 2001;91(10):1905-13. doi: 10.1002/1097-0142(20010515)91:10<1905::aid-cncr1213>3.0.co;2-4
- Lonergan GJ, Schwab CM, Suarez ES, Carlson CL. From the archives of the AFIP: neuroblastoma, ganglioneuroblastoma, and ganglioneuroma: radiologic-pathologic correlation. Radiographics. 2002;22(4):911-34. doi: 10.1148/radiographics.22.4.g02jl15911
- Sasaki S, Yasuda T, Kaneto H, et al. Large adrenal ganglioneuroma. Inter Med. 2012;51(17):2365-70. doi: 10.2169/internalmedicine.51.7726
- Ichikawa T, Ohtomo K, Araki T, et al. Ganglioneuroma: computed tomography and magnetic resonance imaging features. Br J Radiol. 1996;69(818):114-21. doi: 10.1259/0007-1285-69-818-114
- Rondeau G, Nolet S, Latour M, et al. Clinical and biochemical features of seven adult adrenal ganglioneuromas. J Clin Endocrinol Metab. 2010;95(7):3118-25. doi: 10.1210/jc.2009-2775
- Qing Y, Bin X, Jian W, et al. Adrenal ganglioneuromas: a 10-year experience in a Chinese population. Surgery. 2010;147(6):854-60. doi: 10.1016/j.surg.2009.11.010
- Maweja S, Materne R, Detrembleur N, et al. Adrenal ganglioneuroma. A neoplasia to exclude in patients with adrenal incidentaloma. Acta Chir Belg. 2007;107(6):670-4. doi: 10.1080/00015458.2007.11680144
- Linos D, Tsirlis T, Kapralou A, et al. Adrenal ganglioneuromas: incidentalomas with misleading clinical and imaging features. Surgery. 2011;149(1):99-105. doi: 10.1016/j.surg.2010.03.016
- Hussain HK, Korobkin M. MR imaging of the adrenal glands. Magn Reson Imaging Clin N Am. 2004;12(3):515-44. doi: 10.1016/j.mric.2004.03.008
- Guo YK, Yang ZG, Li Y, et al. Uncommon adrenal masses: CT and MRI features with histopathologic correlation. Eur J Radiol. 2007;62(3):359-70. doi: 10.1016/j.ejrad.2006.12.011
- Rosenfeld DL, Girgis WS, Underberg-Davis SJ. Bilateral smoothmuscle tumors of the adrenals in a child with AIDS. Pediatr Radiol. 1999;29(5):376-8. doi: 10.1007/s002470050611
- Travis WD, Oertel JE, Lack EE. Miscellaneous tumors and tumefactive lesions of the adrenal gland. In: Pathology of the Adrenal Glands. New York: Churchill Livingstone, 1990: p. 351-78.
- Nakagawa N, Takahashi M, Maeda K, et al. Case report: adrenal haemangioma coexisting with malignant haemangioendothelioma. Clin Radiol. 1986;37(1):97-9. doi: 10.1016/s0009-9260(86)80185-4
- Kareti LR, Katlein S, Siew S, Blauvelt A. Angiosarcoma of the adrenal gland. Arch Pathol Lab Med. 1988;112(11):1163-5.
- Otal P, Escourrou G, Mazerolles C, et al. Imaging features of uncommon adrenal masses with histopathologic correlation. Radiographics. 1999;19(3):569-81. doi: 10.1148/radiographics.19.3.g99ma07569
- Vargas AD. Adrenal hemangioma. Urology. 1980;16(4):389-90. doi: 10.1016/0090-4295(80)90145-4
- Li Y, Sun H, Gao S, Bai R. Primary bilateral adrenal lymphoma: two case reports. J Comput Assist Tomogr. 2006;30(5):791-3. doi: 10.1097/01.rct.0000216112.15564.0c
- Zhou L, Peng W, Wang C, et al. Primary adrenal lymphoma: radiological; pathological, clinical correlation. Eur J Radiol. 2012;81(3):401-5. doi: 10.1016/j.ejrad.2010.11.026
- Aziz SA, Laway BA, Rangreze I, et al. Primary adrenal lymphoma: differential involvement with varying adrenal function. Indian J Endocrinol Metab. 2011;15(3):220-3. doi: 10.4103/2230-8210.83414
- Kato H, Itami J, Shiina T, et al. MR imaging of primary adrenal lymphoma. Clin Imaging. 1996;20(2):126-8. doi: 10.1016/0899-7071(95)00007-0
- Lerttumnongtum P, Muttarak M, Visrutaratna P, Ya-In C. Imaging features of unusual adrenal masses. Australias Radiol. 2004;48(2):107-13. doi: 10.1111/j.1440-1673.2004.01268.x
- Kawashima A, Alleman WG, Takahashi N, et al. Imaging evaluation of amyloidosis of the urinary tract and retroperitoneum. Radiographics. 2011;31(6):1569-82. doi: 10.1148/rg.316115519