arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2013-19-6-532-537arthyper-53Research ArticleЛЕКЦИЯLECTUREСЛУЧАЙНО ВЫЯВЛЕННЫЕ ОБРАЗОВАНИЯ В НАДПОЧЕЧНИКАХ. ДИАГНОСТИКА И ВРАЧЕБНАЯ ТАКТИКАADRENAL INCIDENTALOMAS: DIAGNOSIS AND MANAGEMENTГринёваЕ. Н.GrinevaE. N.

Доктор медицинских наук, директор института эндокринологии ФМИЦ им. В.А. нёва Е.Н. —Алмазова.

Контактная информация: ФГБУ «Федеральный медицинский исследовательский центр имени В.А. Алмазова» Минздрава России, ул. Аккуратова, д. 2, Санкт-Петербург, Россия, 197341. E-mail: grineva@almazovcentre.ru, grineva_e@mail.ru (Гринёва Елена Николаевна).

Corresponding author: Federal Almazov Medical Research Centre, 2 Akkuratov st., St Petersburg, Russia, 197341. E-mail: grineva@almazovcentre.ru, grineva_e@mail.ru (Elena N. Grineva, MD, DSc, the Director of the Institute of Endocrinology at Federal Almazov Medical Research Centre).

 

grineva@almazovcentre.ruБелоусоваЛ. В.BelousovaL. V.

Заведующая эндокринологическим отделением №  2 ФМИЦ им. В.А. Алмазова

grineva@almazovcentre.ruБасекИ. В.BasekI. V.

Кандидат медицинских наук, заведующая кабинетом мультиспиральной компьютерной томографии ФМИЦ им. В.А. Алмазова

grineva@almazovcentre.ruФедеральный медицинский исследовательский центр имени В.А. Алмазова, Санкт-ПетербургРоссияFederal Almazov Medical Research Centre, St PetersburgRussian Federation201328122013196532537Copyright © Гринёва Е.Н., Белоусова Л.В., Басек И.В., 20132013Гринёва Е.Н., Белоусова Л.В., Басек И.В.Grineva E.N., Belousova L.V., Basek I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/53

Случайно выявленным образованием или инсиденталомой надпочечника называют бессимптомное образование надпочечника, выявленное с помощью визуализации области живота, выполненной по другим, не связанным с патологией надпочечника, причинам. Широкое использование таких диагностических процедур, как ультразвуковое исследование, компьютерная и магнитно-резонансная томография, привели к значительному увеличению выявления бессимптомных образований надпочечников. В связи с увеличивающимся ростом в практике врача числа пациентов с инсиденталомами надпочечника последние представляют проблему общественного здоровья. Большинство инсиденталом надпочечника доброкачественные, но необходимо тщательное обследование всех больных для исключения злокачественных и гиперфункционирующих его образований. Настоящий обзор посвящен оценке и ведению случайно выявленных образований надпочечников.

Adrenal incidentaloma is an unsuspected and asymptomatic mass, usually detected by an imaging study performed for other purposes. The widespread use of diagnostic ultrasound, computed tomography, magnetic resonance imaging has resulted in the frequent incidental discovery of asymptomatic adrenal mass. Adrenal incidentalomas represent a public health challenge because they are increasingly recognized in current medical practice. The majority of adrenal incidentalomas are benign, but careful evaluation of all patients is warranted to be certain that malignant tumours and functional adenomas are not missed. The article reviews the presentation, evaluation and management of adrenal incidentalomas.

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The authors declare that there are no conflicts of interest present.