Adrenal incidentaloma: report of 33 cases

Journal of Surgical Oncology
N B Tütüncü, O Gedik

Abstract

The aim of our study was to review the imaging characteristics, endocrinologic screening and histologic diagnoses of adrenal incidentaloma cases encountered in our institute. Thirty-three adrenal incidentaloma cases that had been evaluated in Hacettepe University Hospital between 1985 and 1995 were reviewed retrospectively. Adrenal masses were discovered incidentally by abdominal ultrasonography (USG) and/or computed tomography (CT). Detailed endocrine evaluation was carried out to rule out a possible functioning mass. Among these incidentaloma cases, 2 silent Cushing syndrome (6.06%) cases, 6 silent pheochromocytoma (18.18%) cases, 2 adrenocortical carcinoma (6.06%) cases, and 2 metastatic masses (6.06%) were diagnosed. An optimal diagnostic approach to an adrenal incidentaloma would consider the results of the biochemical tests and a review of anatomical qualities depicted on CT or magnetic resonance imaging (MRI) while taking into account the previous clinical epidemiologic data.

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Related Concepts

Abdomen
Adenoma, Trabecular
Malignant Neoplasm of Adrenal Cortex
Adrenal Cancer
Cushing Syndrome
Magnetization Transfer Contrast Imaging
Pheochromocytoma, Extra-Adrenal
Retrospective Studies
Tomography, X-Ray Computerized Axial
Tomography, Ultrasonic

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