pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2023-3-20-26pmj-2543Research ArticleОБЗОРЫREVIEWSИнциденталомы надпочечников: нерешенные вопросы диагностикиAdrenal incidentalomas: unresolved diagnostic issueshttps://orcid.org/0000-0001-9911-3117АннаевМ. С.AnnayevM. S.

Аннаев Мейлис Сердарович – аспирант Школы медицины 

690922, г. Владивосток, о. Русский поселок Аякс, ДВФУ, корпус 6.2

тел. +7 (925) 014-81-51

Meylis S. Annaev, postgraduate student of the School of Medicine

building 6.2, village Ayaks, I. Russkiy, Vladivostok, 690922, Russia

phone: +7 (925) 014-81-51 

dr.meylis.card@gmail.comСтегнийК. В.StegniyK. V.

Владивосток

Vladivostok

ГельцерБ. И.GeltserB. I.

Владивосток

Vladivostok

ГончарукР. А.GoncharukR. A.

Владивосток

Vladivostok

МорозоваА. М.MorozovaA. M.

Владивосток

Vladivostok

Дальневосточный федеральный университетРоссияFar Eastern Federal UniversityRussian Federation202320092023032026Copyright © Аннаев М.С., Стегний К.В., Гельцер Б.И., Гончарук Р.А., Морозова А.М., 20232023Аннаев М.С., Стегний К.В., Гельцер Б.И., Гончарук Р.А., Морозова А.М.Annayev M.S., Stegniy K.V., Geltser B.I., Goncharuk R.A., Morozova A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2543

В научном обзоре представлены данные о распространенности, этиологии и современных методах диагностики инциденталом надпочечников (ИН), к которым относят случайно обнаруженные с помощью различных технологий визуализации образования размером более 1 см. ИН относятся к одной из основных причин вторичной артериальной гипертензии, ассоциированной с риском сердечно-сосудистых осложнений. К перспективным технологиям диагностики ИН относят двухэнергетическую компьютерную томографию и метод радиомики. Анализ данных литературы указывает на проблемы верификации гормонального профиля этих образований, что особенно важно для случаев двухстороннего поражения надпочечников. В работе обсуждается диагностическое значение сравнительного селективного забора крови из надпочечниковых вен (ССЗВК) для определения стороны гиперпродукции гормонов. Показано, что ССЗВК, несмотря на технические трудности выполнения данной процедуры, является наиболее информативным диагностическим инструментом для латерализации патологического процесса.

In this review paper, we present data on the prevalence, etiology, and diagnostic methods of adrenal incidentalomas (AIs). AIs are tumors larger than 1 cm in size that are accidentally detected using various imaging tests. AIs are known to be responsible for secondary arterial hypertension associated with the risk of cardiovascular complications. Dual-energy CT and radiomics are promising diagnostic technologies for AIs. The conducted literature review points to the problems of verifying the hormonal profile of these tumors, which is particularly relevant in cases of bilateral adrenal lesions. We discuss the diagnostic value of comparative selective adrenal venous sampling (AVS) for determining the site of hormone hyperproduction. Despite technical challenges, AVS remains the most informative diagnostic tool for pathological process lateralization.

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