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Incidentalomas adrenais caninos
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Abstract(s)
Os incidentalomas adrenais sĆ£o massas adrenais detetadas ocasionalmente atravĆ©s de tĆ©cnicas de diagnĆ³stico por imagem. Constituem achados cada vez mais frequentes na prĆ”tica clĆnica mĆ©dico-veterinĆ”ria, uma vez que a realizaĆ§Ć£o de exames de diagnĆ³stico por imagem como a ecografia, tomografia computorizada (TC) e ressonĆ¢ncia magnĆ©tica (RM) sĆ£o mais frequentes. Depois de detetada a massa adrenal, deve ser determinada a sua funcionalidade ā massa funcional ou nĆ£o funcional ā de acordo com a capacidade de produĆ§Ć£o hormonal, e, nos casos funcionais, devem ser determinadas as hormonas que produz. Deve ser tambĆ©m determinada a natureza da massa ā nĆ£o tumoral, tumoral benigna, maligna ou metastĆ”tica. As caracterĆsticas da massa adrenal identificadas nos exames imagiolĆ³gicos podem sugerir o carĆ”ter benigno ou maligno da lesĆ£o. A abordagem terapĆŖutica e o prognĆ³stico sĆ£o variĆ”veis de acordo com a natureza da massa adrenal. Nos casos em que as massas adrenais sĆ£o nĆ£o funcionais e manifestam critĆ©rios de benignidade nos exames imagiolĆ³gicos, devem ter um acompanhamento clĆnico periĆ³dico. Nos casos em que as massas adrenais manifestam critĆ©rios de malignidade nos exames imagiolĆ³gicos, a adrenalectomia constitui o tratamento de eleiĆ§Ć£o na maioria das situaƧƵes.
Adrenal incidentalomas are adrenal masses occasionally detected by means of imaging diagnostic techniques. These findings are more frequent in veterinary clinical practice, since diagnostic imaging such as ultrasonography, computed tomography and magnetic resonance imaging are more frequently performed. After detecting the adrenal mass, hormonal functionality must be determined ā functioning adrenal mass or nonfunctional ā according with hormone production capacity, and in functional cases, the type of hormones it produces should be determined. The nature of the mass should also be determined ā non-tumoral, tumoral benign, malignant or metastatic. The adrenal mass characteristics identified in imaging tests may suggest the benign or malignant nature of the lesion. The therapeutic approach and prognosis are variable according to the nature of the adrenal mass. When adrenal masses are nonfunctional and show benignancy criteria in imaging tests, they should have a periodic clinical follow-up. When adrenal masses show malignancy criteria in imaging tests, adrenalectomy is the treatment of choice in most situations.
Adrenal incidentalomas are adrenal masses occasionally detected by means of imaging diagnostic techniques. These findings are more frequent in veterinary clinical practice, since diagnostic imaging such as ultrasonography, computed tomography and magnetic resonance imaging are more frequently performed. After detecting the adrenal mass, hormonal functionality must be determined ā functioning adrenal mass or nonfunctional ā according with hormone production capacity, and in functional cases, the type of hormones it produces should be determined. The nature of the mass should also be determined ā non-tumoral, tumoral benign, malignant or metastatic. The adrenal mass characteristics identified in imaging tests may suggest the benign or malignant nature of the lesion. The therapeutic approach and prognosis are variable according to the nature of the adrenal mass. When adrenal masses are nonfunctional and show benignancy criteria in imaging tests, they should have a periodic clinical follow-up. When adrenal masses show malignancy criteria in imaging tests, adrenalectomy is the treatment of choice in most situations.
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Keywords
Incidentaloma adrenal DoenƧa adrenal Massa adrenal Tumor adrenal Imagiologia adrenal Adrenalectomia