Conduite à tenir face à un fortuitome surrénalien chez le chien ou le chat (notice n° 762418)
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| fixed length control field | 04692cam a2200673 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123102937.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Pichard, Diane |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Conduite à tenir face à un fortuitome surrénalien chez le chien ou le chat |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2022.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 8 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Dans la littérature scientifique, un fortuitome surrénalien est une masse surrénalienne de découverte fortuite au cours d’un examen d’imagerie réalisé chez un animal asymptomatique ou pour l’exploration d’une autre condition clinique, et sans suspicion clinique de maladie endocrinienne sous-jacente. La détection d’un fortuitome surrénalien induit alors une complexité décisionnelle pour le clinicien. Parce que la patientèle vétérinaire s’avère de plus en plus vieillissante et que les techniques d’imagerie s’améliorent considérablement, la question de la conduite à tenir face à un fortuitome surrénalien devient récurrente. L’évaluation diagnostique, dans un premier temps, doit s’attacher à confirmer la présence de la masse surrénalienne, son caractère sécrétant ou non, malin ou bénin, et la présence d’éventuelles métastases ou d’un envahissement local. Lorsqu’un caractère sécrétant est mis en évidence, la masse perd l’appellation de fortuitome. Il convient ensuite de déterminer précisément les facteurs pouvant orienter la prise en charge vers une approche chirurgicale ou conservatrice. Malgré des taux de complications importants, notamment dans la période postopératoire à court terme des surrénalectomies, les études récentes rapportent des taux de survie satisfaisants lors d’exérèse de tumeurs de petite taille et des possibilités thérapeutiques lors d’envahissement tumoral de la veine cave par cavotomie. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | In the scientific literature, an adrenal incidentaloma is an adrenal mass discovered incidentally during an imaging procedure performed in an asymptomatic dog or to explore another clinical condition, without clinical suspicion of any underlying endocrine disease. The detection of an adrenal incidentaloma raises challenging questions for the clinician. Because the prevalence of these masses increases with age, appropriate management of adrenal tumors will be a growing challenge in our aging veterinary patient population. Diagnostic evaluation should first focus on repeating ultrasound (or other imaging procedure) to ensure the mass is consistently present. The clinician should then assess whether the mass is secreting or not, if the mass is benign or malignant and then assess the presence of metastasis or any local invasion. If an hormonally active mass is suspected, diagnostic testing and according treatment decision should be made. When an hormonally active mass is diagnosed, the mass loses the name of incidentaloma. Factors directing management toward a surgical or conservative approach should be identified. While adrenalectomy is sometimes controversial due to the high perioperative mortality rates previously reported, recent studies reports that adrenalectomy of small tumors with no vascular invasion can be performed with low risk. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | carcinome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperaldostéronisme |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperadrénocorticisme |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | phéochromocytome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | surrénalectomie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | médulla |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cushing |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adénome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | surrénale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cortex |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | phéochromocytome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cushing |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | surrénalectomie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cortex |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | carcinome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | surrénale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adénome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperaldostéronisme |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | médulla |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperadrénocorticisme |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adrenal |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pheochromocytoma |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | medulla |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adrenalectomy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | carcinoma |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperaldosteronism |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cushing |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adenoma |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cortex |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperadrenocorticism |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cushing |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pheochromocytoma |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cortex |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperadrenocorticism |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | medulla |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adrenal |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adrenalectomy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | carcinoma |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adenoma |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperaldosteronism |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Benckekroun, Ghita |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Benckekroun, Ghita |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Le Nouveau Praticien Vétérinaire - Canine & féline | 19 | 2 | 2022-12-01 | p. 40-48 | 1637-3065 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-le-nouveau-praticien-veterinaire-canine-et-feline-2022-2-page-40?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-le-nouveau-praticien-veterinaire-canine-et-feline-2022-2-page-40?lang=fr&redirect-ssocas=7080</a> |
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