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Adrenal Mass

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81. A case report on 111In chloride bone marrow scintigraphy in management of adrenal myelolipoma. (PubMed)

peritoneal mass detected on a medical checkup. Abdominal CT revealed a mass measuring 14.3 cm in diameter located between the left kidney and the left adrenal gland, which showed coexistence of fat and soft tissue densities.A bone marrow scan is a nuclear medicine examination to assess hematopoietic activity. To avoid excessive resection of the tumor, we thought that a bone marrow scan could be applied for differentiation between myelolipoma and retroperitoneal liposarcoma by evaluating the hematopoietic (...) A case report on 111In chloride bone marrow scintigraphy in management of adrenal myelolipoma. Adrenal myelolipoma is a benign hormone-inactive tumor composed of hematopoietic tissue and mature adipose tissue. Because this tumor tends to be rich in fat, in many cases it can be diagnosed based on computed tomography (CT) or magnetic resonance imaging (MRI) findings alone. However, in the presence of much necrosis, calcification and hematopoietic tissue and/or the absence of much fat

2019 Medicine

82. Insulin resistance and adrenal incidentalomas: A bidirectional relationship. (PubMed)

Insulin resistance and adrenal incidentalomas: A bidirectional relationship. An adrenal incidentaloma (AI) is an adrenal mass incidentally found via a radiological modality, independent of an endocrinological investigation. In this review, we aimed to investigate the possible reasons behind the increased frequency in AI detection, especially in ageing populations. The pathophysiological effects of insulin resistance (IR), hyperinsulinemia and various anabolic pathways are analyzed. In addition (...) , we review data from studies indicating an increased incidence of adrenal adenomas and carcinomas in patients with type 2 diabetes mellitus (T2DM). The establishment of obesity as a global epidemic, with a higher prevalence in the female than in the male population, coincide with data regarding AIs and the conditions may share a pathophysiological basis. Furthermore, we discuss the bidirectional association of AIs with obesity, insulin resistance and T2DM, especially in patients with autonomous

2019 Maturitas

83. Influence of antihypertensive drugs in the subtype diagnosis of primary aldosteronism by adrenal venous sampling. (PubMed)

with successful ACTH-AVS.Patients who received any DAPD (n = 209) showed higher prevalence of comorbidity burdens and took more antihypertensive drugs compared with patients without DAPD. In patients taking DAPD, those with laterality index more than 4 had a higher prevalence of hypokalemia, a higher aldosterone-to-renin ratio and a higher prevalence of adrenal mass than those with laterality index of 4 or less. Adrenalectomy was performed in 76% patients with laterality index more than 4 and 20 (...) Influence of antihypertensive drugs in the subtype diagnosis of primary aldosteronism by adrenal venous sampling. Because of the influence on the renin-angiotensin-aldosterone system, it is recommended to avoid, if possible, the use of angiotensin-converting-enzyme inhibitors, angiotensin II type 1 receptor blockers, diuretics, β-blockers, and mineralocorticoid receptor antagonists during the diagnostic period of primary aldosteronism. A laterality index more than 4 in adrenocorticotropic

2019 Journal of Hypertension

84. Plasma steroid profiles in subclinical compared to overt adrenal Cushing's syndrome. (PubMed)

patients were tested for hypercortisolism among whom disease was excluded in 152 and confirmed in 21 with overt clinical Cushing's syndrome due to adrenal tumors (AC) compared to 35 with SC. Another 277 age- and gender-matched hypertensive and normotensive volunteers were included for reference.Panel of 15 plasma steroids measured by mass spectrometry with classification by discriminant analysis.Patients with SC showed lower (P<0.05) plasma concentrations of dehydroepiandrosterone (...) Plasma steroid profiles in subclinical compared to overt adrenal Cushing's syndrome. Diagnosis of subclinical adrenal hypercortisolism is based on several tests of the hypothalamic-pituitary-adrenal axis to establish mild alterations of cortisol secretion and dysregulated cortisol physiology.This study assessed whether plasma steroid profiles might assist diagnosis of subclinical Cushing's syndrome (SC).Retrospective cross-sectional study.Two tertiary medical centers.Two hundred and eight

2019 Journal of Clinical Endocrinology and Metabolism

85. Solitary adrenal metastasis from advanced gastric cancer invading duodenal bulb with situs inversus totalis: A case report. (PubMed)

, especially with intraoperative radiotherapy (IORT).A 61-year-old SIT man found a mass on the right clavicle and the biopsy revealed a metastatic cancer. Around 14 years ago, he had a rectal cancer resection surgery and no sign of occurrence. Five months later, the patient had a pain in his right low abdomen and abdominal CT found a right adrenal mass.Gastroscopy and the pathology revealed the gastric antrum cancer invading the duodenal bulb. Abdominal enhanced CT suspected the adrenal mass as a hematoma (...) Solitary adrenal metastasis from advanced gastric cancer invading duodenal bulb with situs inversus totalis: A case report. Situs invsersus totalis (SIT) is a rare anomaly featured by complete inversion of abdominal and thoracic organs. Adrenal metastasis is often encountered as part of advanced systemic dissemination, which is usually unresectable. Few published cases reported the adrenal metastasis from gastric cancer with SIT and the treatment of gastrectomy combined with adrenalectomy

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2019 Medicine

86. A successful pregnancy in a patient with secondary hypertension caused by adrenal adenoma: a case report. (PubMed)

by 30 mg nifedipine twice a day. Examination in our department revealed her 24 h urinary free cortisol (24 h UFC) level was 1684.3 μg/24 h (normal range: 20.26-127.55 μg/24 h) and plasma adrenocorticotropic hormone was < 1.00 ng/L in three independent measurements (normal range: 5-78 ng/L). Ultrasonography demonstrated a mass (2.9 cm × 2.8 cm) in the right side of the adrenal gland. Magnetic resonance imaging without contrast showed a 3.2 cm diameter mass in the right-side of the adrenal gland (...) A successful pregnancy in a patient with secondary hypertension caused by adrenal adenoma: a case report. Secondary hypertension is a rare complication in pregnancy that causes poor outcomes, such as preeclampsia, premature delivery, intrauterine growth retardation, stillbirths, spontaneous abortion or intrauterine death. Cushing's disease caused by an adrenal adenoma is rare during pregnancy and may be overlooked by obstetricians and physicians, but can lead to hypertension, diabetes mellitus

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2019 BMC Pregnancy and Childbirth

87. Chemical shift imaging for evaluation of adrenal masses: a systematic review and meta-analysis

Chemical shift imaging for evaluation of adrenal masses: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address

2018 PROSPERO

88. Adrenal Mass Causing Secondary Hypertension. (PubMed)

Adrenal Mass Causing Secondary Hypertension. Most hypertensive patients have essential (primary) hypertension; only 5% to 10% have a secondary cause. Two clinical characteristics suggestive of secondary hypertension are early onset (< 30 years of age) and severe hypertension (>180/110 mm Hg). When faced with these findings, clinicians should consider a secondary cause of hypertension.A 22-year-old woman being evaluated for asthma exacerbation in the emergency department was noted to have severe (...) persistent hypertension. Additional evaluation revealed severe hypokalemia, metabolic alkalosis, and hypernatremia. The patient was admitted to the hospital for blood pressure management, electrolyte replacement, and further evaluation of presumed hyperaldosteronism. Diagnostic imaging revealed a large adrenal mass. Surgical resection was performed, leading to a diagnosis of hyperaldosteronism caused by adrenal carcinoma. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Secondary hypertension is far

2015 Journal of Emergency Medicine

89. Insulin-Mediated Diseases: Adrenal Mass and Polycystic Ovary Syndrome. (PubMed)

Insulin-Mediated Diseases: Adrenal Mass and Polycystic Ovary Syndrome. Adrenal incidentalomas (AIs) and polycystic ovary syndrome (PCOS) have often been associated with compensatory hyperinsulinemia and insulin resistance (IR). The link between these diseases and IR may be changes in hormone secretions that provoke IR and in turn promote the growth of adrenal gland masses and/or ovarian cysts through compensatory hyperinsulinemia. Copyright © 2015 Elsevier Ltd. All rights reserved.

2015 Trends in Endocrinology and Metabolism

90. Incidental Adrenal Nodules and Masses: The Imaging Approach (PubMed)

Incidental Adrenal Nodules and Masses: The Imaging Approach Adrenal nodules are detected with increasing frequency. The National Institute of Health (NIH), American College of Radiology (ACR), and the American Association of Clinical Endocrinologists and American Association of Endocrine Surgeons (AACE/AAES) have produced guidelines for the management of incidental adrenal nodules. This review provides a summary of the consensus radiologic approach to these nodules.

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2015 International journal of endocrinology

91. Adrenal Mass in Patients who Underwent Abdominal Computed Tomography Examination (PubMed)

Adrenal Mass in Patients who Underwent Abdominal Computed Tomography Examination Adrenal masses are usually discovered incidentally (IAM) during abdominal computed tomography (CT).We aimed to describe the prevalence, management, and outcome of incidentally discovered adrenal mass on radiological investigation.A retrospective analysis was conducted to look for IAM identified by abdominal CT performed for other reasons between 2004 and 2008 and were followed for 4 years. IAM patients with known (...) malignancy or clinically evident adrenal disease or overt disease originally missed due to insufficient clinical examination were excluded.A total of 13,115 patients underwent abdominal CT, of which 136 were identified with adrenal mass (69 males and 67 females). Overall, 84 patients had benign IAM and six had primary adrenal carcinoma (all had tumor size ≥4 cm and five were males). Hormonal evaluation was performed in 80 cases, which revealed hypersecretion in 10 cases (six had Conn's syndrome and four

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2015 North American journal of medical sciences

92. All Those Liver Masses are not Necessarily from the Liver: A Case of a Giant Adrenal Pseudocyst Mimicking a Hepatic Cyst (PubMed)

All Those Liver Masses are not Necessarily from the Liver: A Case of a Giant Adrenal Pseudocyst Mimicking a Hepatic Cyst Most abdominal cysts, including adrenal pseudocysts, are benign and asymptomatic. Rapid enlargement, hemorrhage, infection, rupture with leakage of cyst contents, or pressure on adjacent organs can cause symptoms. Although usually diagnosed incidentally on imaging, determining the origin of a cyst can sometimes be challenging. In these situations, surgical excision (...) laparotomy was performed, and the origin was determined intraoperatively to be right adrenal, which was later confirmed by pathology.Contrast-enhanced CT scan is the criterion standard for evaluation for abdominal cystic masses. Precise diagnosis of a giant abdominal cyst can be challenging. Surgery is both diagnostic and curative in such situations. We also discuss the specific situations in which surgery should be considered in cases of adrenal cystic masses.

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2015 The American journal of case reports

93. Large retroperitoneal mass diagnosed as adrenal chronoc expanding hematoma. (PubMed)

Large retroperitoneal mass diagnosed as adrenal chronoc expanding hematoma. Chronic expanding hematoma is defined as a structure with central mass of blood and granulation tissue encapsulated with dense fibrous membrane that slowly grows over a month. We report a case of a 67-year-old man with left adrenal chronic expanding hematoma who underwent surgical resection after 7-year surveillance, presenting natural history of an adrenal chronic expanding hematoma.Copyright © 2015 Elsevier Inc. All

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2015 Urology

94. Heterotopic pancreatic tail appearing as adrenal mass in a patient with left pelvic kidney. (PubMed)

Heterotopic pancreatic tail appearing as adrenal mass in a patient with left pelvic kidney. A computed tomography scan of a 30-year-old male patient with hematuria incidentally revealed a left pelvic kidney and a lobulated mass in the left adrenal gland concerning for neoplasm. Although laparoscopic adrenalectomy was considered, serial imaging revealed the mass to be the pancreatic tail within the vacant renal fossa. This case demonstrates that ectopia of the kidney can lead to anatomic

2015 Urology

95. Castleman’s disease imitating adrenal mass in the retroperitoneal area (PubMed)

Castleman’s disease imitating adrenal mass in the retroperitoneal area Castleman's disease (CD) is a non-clonal lymph node hyperplasia, mostly seen in the mediastinum. It has various clinical and pathological outcomes. There are different treatments because of its rare occurance and heterogenity. We present 2 cases which were referred to our clinic as retroperitoneal mass and diagnosed as CD after surgical resection.

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2015 Canadian Urological Association Journal

96. Adrenal androgen excess and body mass index in polycystic ovary syndrome. (PubMed)

Adrenal androgen excess and body mass index in polycystic ovary syndrome. Context: Adrenal hyperandrogenism affects around 25% of polycystic ovary syndrome (PCOS) patients but its relation to obesity is not totally understood. Objective: To assess dehydroepiandrosterone (DHEA) and dehydroepiandrosterone sulfate (DHEAS) levels in relation to body mass index (BMI) in PCOS. Design: Prospective observational study. Setting: Institutional practice at an Obstetrics/Gynecology hospital. Patients

2015 Journal of Clinical Endocrinology and Metabolism

97. The Occurrence of Subclinical Hypercortisolism and Osteoporosis in Patients with Incidentally Discovered Unilateral and Bilateral Adrenal Tumors (PubMed)

The Occurrence of Subclinical Hypercortisolism and Osteoporosis in Patients with Incidentally Discovered Unilateral and Bilateral Adrenal Tumors Adrenal incidentalomas (AI) are clinically silent adrenal masses that are detected incidentally during imaging procedures performed for unrelated diseases. The aim of this study was to investigate the prevalence of sub-clinical hypercortisolism (SH) and associated co-morbidities in patients with unilateral AI (UAI) and bilateral AI (BAI).We evaluated

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2016 Journal of medical biochemistry

98. Fluorodeoxyglucose-Positron-Emission Tomography/Computed Tomography Imaging for Adrenal Masses in Patients with Lung Cancer: Review and Diagnostic Algorithm (PubMed)

Fluorodeoxyglucose-Positron-Emission Tomography/Computed Tomography Imaging for Adrenal Masses in Patients with Lung Cancer: Review and Diagnostic Algorithm Positron-emission tomography/computed tomography (PET/CT) with fluorine-18 fluorodeoxyglucose (FDG) is used as first-line staging for patients with newly diagnosed non-small cell lung cancer (NSCLC). Our purpose was to review the accuracy of FDG-PET/CT to predict adrenal gland metastasis, explain the causes for false-positive PET (...) , and provide a diagnostic algorithm.Two patients with incidentally discovered lung masses were found to have hypermetabolic adrenal activity by FDG-PET/CT with maximal standard uptake value (SUV) of 4.5 and 6.5. A MEDLINE search was performed on the topic of FDG-PET/CT, adrenal gland metastasis, and NSCLC. Literature was reviewed with regard to diagnosis, accuracy, outcomes, and alternative imaging or diagnostic strategies.Both patients underwent transabdominal laparoscopic adrenalectomy and were found

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2014 Journal of Endourology

99. Differential Diagnosis of Adrenal Mass Using Imaging Modality: Special Emphasis on F-18 Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography/Computed Tomography (PubMed)

Differential Diagnosis of Adrenal Mass Using Imaging Modality: Special Emphasis on F-18 Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography/Computed Tomography Adrenal incidentalomas are adrenal masses serendipitously detected during an imaging study performed for reasons unrelated to suspicion of adrenal disease. The incidence of adrenal incidentalomas has increased because of the widespread use of various imaging modalities. In oncology patients with adrenal incidentalomas (...) , the characterization of the adrenal masses is challenging because nearly 50% of incidental adrenal masses are metastatic lesions that need special medical attention. Although unenhanced computed tomography (CT) densitometry, chemical shift magnetic resonance imaging (MRI), delayed contrast-enhanced CT and CT histogram analysis have been used as sensitive and specific modalities for differentiating benign from malignant adrenal masses, F-18 fluoro-2-deoxy-D-glucose positron emission tomography (F-18 FDG PET)/CT

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2014 Endocrinology and Metabolism

100. Adrenal androgen excess and body mass index in polycystic ovary syndrome. (PubMed)

Adrenal androgen excess and body mass index in polycystic ovary syndrome. Adrenal hyperandrogenism affects approximately 25% of polycystic ovary syndrome (PCOS) patients but its relation to obesity is not totally understood.This study aimed to assess dehydroepiandrosterone (DHEA) and dehydroepiandrosterone sulfate (DHEAS) levels in relation to body mass index (BMI) in PCOS.This was a prospective observational study at an institutional practice at an obstetrics/gynecology hospital.The study

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2014 Journal of Clinical Endocrinology and Metabolism

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