2,108 results match your criteria Adrenal Adenoma Imaging


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

BMC Pregnancy Childbirth 2019 Apr 3;19(1):116. Epub 2019 Apr 3.

Department of cardiology, West China Hospital, Sichuan University, Chengdu, China.

Background: 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 and an increased risk of fetal and maternal morbidity. Approximately 200 cases have been reported in the literature. Read More

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http://dx.doi.org/10.1186/s12884-019-2262-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448298PMC
April 2019
2 Reads

Adrenocortical hypofunction with simultaneous primary aldosteronism: A case report.

Medicine (Baltimore) 2019 Mar;98(13):e15033

Rationale: Cases of adrenocortical hyperfunction combined with primary aldosteronism have been reported in the literature, and the underlying mechanism involves the secretion of aldosterone and glucocorticoids by a tumor or an adenoma. However, adrenocortical hypofunction and coexisting primary aldosteronism have not been reported until now. Herein, we report a case of adrenocortical hypofunction combined with primary aldosteronism. Read More

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http://dx.doi.org/10.1097/MD.0000000000015033DOI Listing
March 2019
3 Reads

Unmasking of Sarcoidosis After Successful Management of Cushing's Syndrome.

Cureus 2019 Jan 16;11(1):e3896. Epub 2019 Jan 16.

Endocrinology, Universidad De Antioquia, Medellin, COL.

Cushing's syndrome is characterized by excessive glucocorticoid secretion leading to immunosuppression. The unmasking or aggravation of autoimmune diseases upon the normalization of cortisol levels after Cushing's syndrome cure has been reported infrequently. The case of a 45-year-old woman who presented with an 11-month history of severe signs and symptoms of hypercortisolism is reported. Read More

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http://dx.doi.org/10.7759/cureus.3896DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424549PMC
January 2019
3 Reads

Double trouble: two cases of dual adrenal pathologies in one adrenal mass.

Endocrinol Diabetes Metab Case Rep 2019 Mar 23;2019. Epub 2019 Mar 23.

St. Vincent's University Hospital and University College Dublin, Dublin, Ireland.

Context Adrenal incidentalomas (AI) represent an increasingly common problem in modern endocrine practice. The diagnostic approach to AIs can be challenging and occasionally reveals surprising features. Here we describe two rare cases of complex adrenal lesions consisting of phaeochromocytomas with synchronous metastases from extra-adrenal primaries. Read More

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http://dx.doi.org/10.1530/EDM-18-0151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432979PMC
March 2019
1 Read

Spectral CT and its specific values in the staging of patients with non-small cell lung cancer: technical possibilities and clinical impact.

Clin Radiol 2019 Mar 21. Epub 2019 Mar 21.

Department of Radiology, Charité University Medicine Berlin, Campus Virchow Klinikum, Berlin, Germany; Department of Radiology, University Hospital Munich, Ludwig-Maximilians University (LMU), Munich, Germany. Electronic address:

Aim: To investigate how spectral computed tomography (SCT) values impact the staging of non-small cell lung cancer (NSCLC) patients.

Materials And Methods: One hundred and thirteen patients with confirmed NSCLC were included in a prospective cohort study. All patients underwent single-phase contrast-enhanced SCT (using the fast tube voltage switching technique, 80-140 kV). Read More

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http://dx.doi.org/10.1016/j.crad.2019.02.010DOI Listing
March 2019
1 Read

A case of acromegaly caused by Rathke's cleft cyst mimicking a plurihormonal pituitary adenoma.

World Neurosurg 2019 Mar 9. Epub 2019 Mar 9.

Department of Neurosurgery, Fukuoka University Chikushi Hospital, Chikushino-city, Japan.

Background: Acromegaly caused by Rathke's cleft cyst (RCC) mimicking a plurihormonal pituitary adenoma (PA) is rare.

Case Description: We report a 71-year-old woman who presented with hyperhidrosis in 2013. Magnetic resonance imaging (MRI) performed in April 2018 revealed that the patient had a pituitary tumor, and she was referred to our hospital. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.163DOI Listing
March 2019
2 Reads

Multiple endocrine neoplasia type 2A syndrome (MEN2A) and usefulness of 68Ga-DOTATATE PET/CT in this syndrome.

Ann Ital Chir 2019 Mar 4;8. Epub 2019 Mar 4.

Aim: The aim of this study was to evaluate a new imaging method 68Ga-DOTATATE PET/CT as an alternative method to diagnose evidence of neuroendocrine tumors or their metastasis (if any) in patient with MEN 2A.

Methods: Three patients( 2F, 1M; age 28,46 and 50 years) with MEN 2A syndrome who underwent 68Ga-DOTATATE PET/CT scan were prospectively evaluated. PET/CT images were analyzed with measurement of maximum standardized uptake value (SUVmax). Read More

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March 2019
5 Reads
0.683 Impact Factor

Small Cell Lung Cancer with Pituitary Metastasis Presenting as Secondary Adrenal Insufficiency: A Case Report and Literature Review.

Am J Case Rep 2019 Feb 17;20:207-211. Epub 2019 Feb 17.

Department of Endocrinology, University of California San Francisco, San Francisco, CA, USA.

BACKGROUND Pituitary gland metastasis is rarely the initial presentation of metastatic cancer. Most cases of pituitary gland metastasis are asymptomatic with diabetes insipidus being the most common symptomatic presentation. It can rarely present with symptoms of hormone underproduction such as secondary adrenal insufficiency. Read More

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http://dx.doi.org/10.12659/AJCR.913388DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388645PMC
February 2019
2 Reads

Exacerbation of Cushing's syndrome during pregnancy: stimulation of a cortisol-secreting adrenocortical adenoma by ACTH originating from the foeto-placental unit.

Endocrinol Diabetes Metab Case Rep 2019 Feb 7;2019. Epub 2019 Feb 7.

A 29-year-old G4A3 woman presented at 25 weeks of pregnancy with progressive signs of Cushing's syndrome (CS), gestational diabetes requiring insulin and hypertension. A 3.4 × 3. Read More

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http://dx.doi.org/10.1530/EDM-18-0115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373782PMC
February 2019
3 Reads

Arterial thrombosis as primary presentation of endogenous Cushing's syndrome.

BMJ Case Rep 2019 Feb 6;12(2). Epub 2019 Feb 6.

Department of Internal Medicine, Christian Medical College, Vellore, Tamil Nadu, India.

Cushing's syndrome is known to present with a characteristic set of clinical manifestations and complications, well described in literature. However, hypercoagulability remains an under recognised entity in Cushing's syndrome. A 31-year-old woman from Southern India presented with history of fever, left upper quadrant pain and progressive breathing difficulty for 3 weeks. Read More

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http://dx.doi.org/10.1136/bcr-2018-227491DOI Listing
February 2019
30 Reads

A Case of Primary Aldosteronism Due to A Primary Adrenal Adenoma Diagnosed by Segmental Adrenal Venous Sampling (S-AVS) Using a Modified Catheter System and Lateral Cine Angiography.

Am J Case Rep 2019 Feb 2;20:139-145. Epub 2019 Feb 2.

Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Chikushino, Fukuoka, Japan.

BACKGROUND Before partial adrenalectomy for primary aldosteronism due to a primary adrenal adenoma, the aldosterone-producing tumor can be localized by segmental adrenal vein sampling (S-AVS). Cardiologists, who regularly perform percutaneous coronary intervention (PCI), or coronary angioplasty with stent, may not be familiar with the technique of S-AVS. A case of the use of S-AVS is reported in a patient who presented with primary aldosteronism and a right adrenal adenoma. Read More

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http://dx.doi.org/10.12659/AJCR.913172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368131PMC
February 2019
1 Read

Diagnostic value of adrenal iodine-131 6-beta-iodomethyl-19-norcholesterol scintigraphy for primary aldosteronism: a retrospective study at a medical center in North Taiwan.

Nucl Med Commun 2019 Jan 28. Epub 2019 Jan 28.

Department of Internal Medicine, Division of Endocrinology and Metabolism, College of Medicine.

Background: Primary aldosteronism (PA) is a common cause of secondary hypertension. Among the many leading causes of PA, the two most frequent are, bilateral adrenal hyperplasia (BAH) and aldosterone-producing adenomas (APA). Since a solitary APA may be cured surgically, but BAH needs lifelong pharmacologic therapy, confirmation is mandatory before surgery. Read More

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http://dx.doi.org/10.1097/MNM.0000000000000987DOI Listing
January 2019
5 Reads

Imaging features of adrenal masses.

Insights Imaging 2019 Jan 25;10(1). Epub 2019 Jan 25.

Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Università degli studi di Palermo, Via del Vespro 127, 90127, Palermo, Italy.

The widespread use of imaging examinations has increased the detection of incidental adrenal lesions, which are mostly benign and non-functioning adenomas. The differentiation of a benign from a malignant adrenal mass can be crucial especially in oncology patients since it would greatly affect treatment and prognosis. In this setting, imaging plays a key role in the detection and characterization of adrenal lesions, with several imaging tools which can be employed by radiologists. Read More

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http://dx.doi.org/10.1186/s13244-019-0688-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349247PMC
January 2019
3 Reads

Primary Aldosteronism: Present and Future.

Authors:
John W Funder

Vitam Horm 2019 23;109:285-302. Epub 2018 Dec 23.

Hudson Institute of Medical Research, Clayton, VIC, Australia; Monash University, Clayton, VIC, Australia. Electronic address:

Primary aldosteronism (PA), currently recognized to be 5-10% of hypertension, has a cardiovascular risk profile double that in age-, sex-, and blood pressure-matched essential hypertensives. Screening for PA is by determining the plasma aldosterone to renin ratio (ARR), followed by one of half a dozen confirmatory/exclusion tests. Unilateral hyperaldosteronism normally reflects an aldosterone producing adenoma; bilateral disease is the more common form, and termed idiopathic hyperaldosteronism (IHA). Read More

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http://dx.doi.org/10.1016/bs.vh.2018.10.006DOI Listing
December 2018
2 Reads

A rare case of pure testosterone-secreting adrenal adenoma in a postmenopausal elderly woman.

BMC Endocr Disord 2019 Jan 23;19(1):14. Epub 2019 Jan 23.

Department of Endocrinology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Zhejiang, 310003, Hangzhou, China.

Background: Hyperandrogenemia is more common in puberty and reproductive age, but relatively rare in postmenopausal women. Postmenopausal virilization may result from androgen-producing tumors. Androgen-secreting adrenal tumors are rare in clinical practice and are diagnosed as adrenocortical carcinoma, most of which can co-secrete androgen and cortisol. Read More

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http://dx.doi.org/10.1186/s12902-019-0342-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343319PMC
January 2019
2 Reads

Evaluation of diagnostic accuracy: multidetector CT image noise correction improves specificity of a Gaussian model-based algorithm used for characterization of incidental adrenal nodules.

Abdom Radiol (NY) 2019 Mar;44(3):1033-1043

Body Imaging Section, Department of Radiology, University of Washington, Box 358081, 825 Eastlake Ave E, G2-600, Seattle, WA, 98109, USA.

Objectives: To investigate whether the histogram analysis method of characterizing adrenal nodules as adenomas is affected by increased noise with modern CT technique, and if an extension that allows for noise correction will improve diagnostic performance.

Materials And Methods: This is a HIPAA-compliant, IRB-approved retrospective study performed on 58 total patients. The first group of 29 patients had 33 adrenal lesions that were pathology-proven non-adenomas. Read More

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http://dx.doi.org/10.1007/s00261-018-1871-yDOI Listing
March 2019
4 Reads

Stent-Assisted Coil Embolization for a Ruptured Posterior Communicating Artery Pseudoaneurysm After Endoscopic Transsphenoidal Surgery for Pituitary Adenoma.

World Neurosurg 2019 Mar 22;123:301-305. Epub 2018 Dec 22.

Department of Neurosurgery, Fukuoka University Chikushi Hospital, Chikushino-city, Japan.

Background: Intracranial pseudoaneurysm is a rare complication of endoscopic endonasal surgery. Herein, we describe 2-staged stent-assisted coil embolization for posterior communicating artery pseudoaneurysm after endoscopic endonasal surgery for pituitary adenoma.

Case Description: A 68-year-old man had a history of severe adult growth hormone secretion deficiency, requiring growth hormone replacement therapy; secondary adrenocortical hypofunction; hyperthyroidism; hypertension; constipation; glaucoma; and hyperuricemia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183287
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http://dx.doi.org/10.1016/j.wneu.2018.12.047DOI Listing
March 2019
10 Reads

Rates of abnormal aldosterone/renin ratio in African-origin compared to European-origin patients: A retrospective study.

Clin Endocrinol (Oxf) 2019 Apr 25;90(4):528-533. Epub 2019 Jan 25.

Department of Endocrinology, The Adelaide and Meath Hospital, Incorporating the National Children's Hospital, Tallaght, Dublin, Ireland.

Introduction: The aldosterone/renin ratio is the initial screening test for primary hyperaldosteronism (PHA), but little data exists regarding ethnic variations in this.

Methods: Following clinical observation of a high prevalence of abnormal aldosterone/renin ratio (ARR) in patients of African-origin, we retrospectively reviewed all ARR measurements in a single centre over 10 years. Rates of hypokalaemia, intraventricular septal thickness (IVS, by echocardiography) and adrenal imaging were recorded when available. Read More

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http://dx.doi.org/10.1111/cen.13920DOI Listing
April 2019
7 Reads

Aldosterone and 18-Oxocortisol Coaccumulation in Aldosterone-Producing Lesions.

Hypertension 2018 Dec;72(6):1345-1354

From the Department of Biochemistry (Y.S., M.S., K.N.), Keio University School of Medicine, Tokyo, Japan.

Primary aldosteronism is a secondary hypertensive disease caused by autonomous aldosterone production that often caused by an aldosterone-producing adenoma (APA). Immunohistochemistry of aldosterone synthase (CYP11B2) shows the presence of aldosterone-producing cell clusters (APCCs) even in non-primary aldosteronism adult adrenal cortex. An APCC-like structure also exists as possible APCC-to-APA transitional lesions (a speculative designation) in primary aldosteronism adrenals. Read More

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http://dx.doi.org/10.1161/HYPERTENSIONAHA.118.11243DOI Listing
December 2018
2 Reads

A rare case report of hypertrophic cardiomyopathy induced by catecholamine-producing tumor.

Medicine (Baltimore) 2018 Dec;97(50):e13369

Secondary Hypertension Unit, Department of Internal Medicine and Medical Specialties, University of Rome.

Rationale: Catecholamine-producing tumors are rare, occurring in less than 0.2% of patients with hypertension, but can have relevant cardiovascular morbidity and mortality.

Patient Concerns: A 37-year-old woman presented with a history of dyspnea, chest pain, palpitations, and paroxysmal hypertension. Read More

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http://dx.doi.org/10.1097/MD.0000000000013369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319915PMC
December 2018
2 Reads
5.723 Impact Factor

[A Case Report : FDG Uptake to Brown Adipose Tissue Activated by Elevated Serum Catecholamine in a Patient with Pheochromocytoma].

Hinyokika Kiyo 2018 Nov;64(11):435-438

The Department of Urology, Osaka National Hospital.

A 69-year-old woman was admitted to the previous hospital because of a right adrenal tumor detected by a medical checkup. Although the tumor was diagnosed as non-functional adrenal adenoma, abdominal computed tomography (CT) revealed a left renal mass which was suspected to be renal cell carcinoma. Chest CT seeking for metastatic lesions revealed lung cancer of the left lung. Read More

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http://dx.doi.org/10.14989/ActaUrolJap_64_11_435DOI Listing
November 2018
2 Reads

Radiomics improves efficiency for differentiating subclinical pheochromocytoma from lipid-poor adenoma: a predictive, preventive and personalized medical approach in adrenal incidentalomas.

EPMA J 2018 Dec 21;9(4):421-429. Epub 2018 Sep 21.

7Department of Radiology, Keck Medical Center of USC, Los Angeles, CA USA.

Objectives: This study aims to define a radiomic signature for pre-operative differentiation between subclinical pheochromocytoma (sPHEO) and lipid-poor adrenal adenoma (LPA) in adrenal incidentaloma. The goal was to apply a predictive, preventive, and personalized medical approach to the management of adrenal tumors.

Patients And Methods: This retrospective study consisted of 265 consecutive patients (training cohort, 212 (LPA, 145; sPHEO, 67); validation cohort, 53 (LPA, 36; sPHEO, 17)). Read More

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http://dx.doi.org/10.1007/s13167-018-0149-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261906PMC
December 2018
1 Read

Hypercortisolism in Newly Diagnosed Type 2 Diabetes: A Prospective Study of 384 Newly Diagnosed Patients.

Horm Metab Res 2019 Jan 6;51(1):62-68. Epub 2018 Dec 6.

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.

Cross-sectional studies in small and selected populations report a high prevalence of hypercortisolism in patients with type 2 diabetes (T2D), which could have therapeutic implications, if confirmed. We therefore estimated the prevalence of hypercortisolism in a large and unselected cohort of recently diagnosed T2D patients. Consecutive patients with recently diagnosed T2D first underwent an overnight dexamethasone (1 mg) suppression test (OD). Read More

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http://dx.doi.org/10.1055/a-0809-3647DOI Listing
January 2019
13 Reads

Distinguishing adrenal adenomas from non-adenomas with multidetector CT: evaluation of percentage washout values at a short time delay triphasic enhanced CT.

Br J Radiol 2019 Feb 28;92(1094):20180429. Epub 2018 Nov 28.

1 Department of Radiology, China-Japan Friendship Hospital , Beijing , China.

Objective:: To retrospectively evaluate the diagnostic values of absolute percentage washout ratio (APW) and relative percentage washout ratio (RPW) obtained from a short time delay triphasic enhanced CT in distinguishing adenomas from non-adenomas.

Methods:: The study population consisted of 116 patients (58 males and 58 females; mean age, 52 years; age range, 23-89 years) with 116 adrenal masses from 2010 to 2016. Absolute attenuation values in each phase of CT were measured, and then the APW and RPW were calculated. Read More

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http://dx.doi.org/10.1259/bjr.20180429DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404818PMC
February 2019
3 Reads

10 good reasons why adrenal vein sampling is the preferred method for referring primary aldosteronism patients for adrenalectomy.

J Hypertens 2019 Mar;37(3):603-611

Division of Clinical Hypertension, Endocrinology and Metabolism, Tohoku University Graduate School of Medicine, Sendai, Japan.

: Nowadays most patients diagnosed with surgically curable primary aldosteronism have small or micro aldosterone-producing adenoma or unilateral micronodular hyperplasia, which are undetectable with available imaging technologies. Therefore, a negative imaging test by no means excludes unilateral primary aldosteronism. Moreover, about 10% of the subjects above the age of 35 years have nonfunctioning adrenal tumors, regardless of being hypertensive or not, with a prevalence that raises with aging. Read More

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http://Insights.ovid.com/crossref?an=00004872-900000000-9731
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http://dx.doi.org/10.1097/HJH.0000000000001939DOI Listing
March 2019
5 Reads

Primary aldosteronism with nonlocalizing imaging.

Surgery 2019 Jan 7;165(1):211-218. Epub 2018 Nov 7.

Department of Surgery, Division of Endocrine and Oncologic Surgery, Hospital of the University of Pennsylvania, Philadelphia.

Background: Unilateral primary aldosteronism is surgically curable. The goal of this study was to examine outcomes based on preoperative imaging findings.

Methods: We performed a retrospective analysis of patients with primary aldosteronism who underwent adrenal vein sampling. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060183057
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http://dx.doi.org/10.1016/j.surg.2018.04.077DOI Listing
January 2019
21 Reads

Impact of body mass index on CT attenuation of adrenal adenoma.

Eur J Radiol 2018 Nov 2;108:184-188. Epub 2018 Oct 2.

Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Objective: To investigate whether lipid metabolism-related factors regulate unenhanced CT attenuation in adrenal adenoma (AA).

Materials And Methods: Thirty-six patients with surgically proven AAs were enrolled in this study. The patients' underlying diseases were the following: primary aldosteronism (n = 24), Cushing's syndrome (n = 8), subclinical Cushing's syndrome (n = 3) and non-functioning AA (n = 1). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X183034
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http://dx.doi.org/10.1016/j.ejrad.2018.09.033DOI Listing
November 2018
19 Reads

[Adrenal incidentaloma : Diagnostic and therapeutic concept from an endocrinological perspective].

Authors:
N Unger

Chirurg 2019 Jan;90(1):3-8

Klinik für Endokrinologie, Diabetologie und Stoffwechsel, Universitätsklinikum Essen, Hufelandstr. 55, 45127, Essen, Deutschland.

An adrenal incidentaloma is an adrenal mass detected on imaging that was not performed for suspected adrenal disease. The prevalence is approximately 3% and increases up to 10% in older people. The risk of malignancy and a hormone excess have to be evaluated. Read More

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http://link.springer.com/10.1007/s00104-018-0739-6
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http://dx.doi.org/10.1007/s00104-018-0739-6DOI Listing
January 2019
27 Reads

A variable course of Cushing's disease in a 7 year old: diagnostic dilemma.

J Pediatr Endocrinol Metab 2018 Nov;31(11):1285-1288

Fellow Pediatric Endocrinology, Indraprastha Apollo Hospital, New Delhi, India.

Background Cushing's syndrome (CS) or hypercortisolism results from disruption of the hypothalamus-pituitary-adrenal (HPA) axis with the resultant increase in the circulating serum and urinary cortisol levels and lack of cortisol circadian rhythm. The resultant effects cause the physical manifestation of hypercortisolism. The appearance of Cushing's disease in children is insidious, the most common features being growth failure, obesity, early puberty and facial appearance. Read More

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http://dx.doi.org/10.1515/jpem-2018-0133DOI Listing
November 2018
3 Reads

Adrenal incidentaloma: machine learning-based quantitative texture analysis of unenhanced CT can effectively differentiate sPHEO from lipid-poor adrenal adenoma.

J Cancer 2018 8;9(19):3577-3582. Epub 2018 Sep 8.

Department of Radiology, Keck Medical Center of USC, Los Angeles, CA.

To evaluate the feasibility and accuracy of machine learning based texture analysis of unenhanced CT images in differentiating subclinical pheochromocytoma (sPHEO) from lipid-poor adenoma (LPA) in adrenal incidentaloma (AI). Seventy-nine patients with 80 LPA and 29 patients with 30 sPHEO were included in the study. Texture parameters were derived using imaging software (MaZda). Read More

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http://www.jcancer.org/v09p3577.htm
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http://dx.doi.org/10.7150/jca.26356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171020PMC
September 2018
8 Reads

CT and MRI of adrenal gland pathologies.

Quant Imaging Med Surg 2018 Sep;8(8):853-875

Department of Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China.

Besides ultrasound and nuclear medicine techniques, computed tomography (CT) and magnetic resonance imaging (MRI) are commonly used to examine adrenal lesions in both symptomatic and asymptomatic patients. Some adrenal lesions have characteristic radiological features. If an adrenal nodule is discovered incidentally, determining whether the lesion is benign or malignant is of great importance. Read More

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http://qims.amegroups.com/article/view/21428/21140
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http://dx.doi.org/10.21037/qims.2018.09.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177362PMC
September 2018
23 Reads

Oncocytic neoplasms; rare adrenocortical tumours - a report of eleven patients.

Endokrynol Pol 2018 27;69(6):682-687. Epub 2018 Sep 27.

Department of Internal Medicine, Division of Endocrinology and Metabolism, Kastamonu State Hospital, Kastamonu, Turkey.

Introduction: Oncocytomas of adrenal glands are extremely rare and usually present as incidentally detected masses. We aimed to present a series of patients with adrenal oncocytomas and review the literature.

Material And Methods: Electronic database of patients with adrenal tumours, who were admitted to the internal medicine and endocrinology and metabolism outpatient clinics of Uludag University Medical Faculty between January 2005 and November 2016, were assessed retrospectively. Read More

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http://dx.doi.org/10.5603/EP.a2018.0066DOI Listing
April 2019
3 Reads

Multiple Endocrine Neoplasia Type 1: A Case Report With Review of Imaging Findings.

Ochsner J 2018 ;18(2):170-175

Department of Radiology, Ochsner Clinic Foundation, New Orleans, LA.

Background: Multiple endocrine neoplasia type 1 (MEN1) is a rare, autosomal dominant inherited syndrome caused by mutations in the MEN1 tumor suppressor gene. The diagnosis is defined clinically by the presence of 2 or more primary MEN1 tumors (parathyroid, anterior pituitary, and pancreatic islet). We describe the case of a patient who presented with classic history and imaging findings for MEN1. Read More

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http://dx.doi.org/10.31486/toj.17.0019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135292PMC
January 2018
6 Reads

[Polymetastatic highly aggressive Small Cell Undifferentiated Neuroendocrine Carcinoma of Ascending Colon].

Cir Cir 2018 ;86(5):446-449

Fourth Surgical Department. Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Neuroendocrine carcinoma (NEC) of the colon is a rare and very aggressive tumor with poor prognosis. The current case report presents a 53-year-old male with a 6 cm × 10 cm ascending colon carcinoma, causing large intestine obstruction, with simultaneous multiple hepatic metastases and peritoneal carcinomatosis. Surgical resection of the primary tumor was performed, because of the bowel obstruction, to ameliorate the symptoms before the onset of chemotherapy. Read More

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http://dx.doi.org/10.24875/CIRU.18000058DOI Listing
February 2019
4 Reads
0.322 Impact Factor

Clinical, Biochemical, and Radiological Characteristics of a Single-Center Retrospective Cohort of 705 Large Adrenal Tumors.

Mayo Clin Proc Innov Qual Outcomes 2018 Mar 21;2(1):30-39. Epub 2017 Dec 21.

Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN.

Objective: To characterize large adrenal tumors (≥4 cm in diameter) and to identify features associated with malignancy.

Patients And Methods: We investigated the clinical, biochemical, and imaging characteristics in a large retrospective single-center cohort of patients with adrenal tumors of 4 cm or more in diameter during the period of January 1, 2000, through December 31, 2014.

Results: Of 4085 patients with adrenal tumors, 705 (17%) had adrenal masses measuring 4 cm or more in diameter; of these, 373 (53%) were women, with a median age of 59 years (range, 18-91 years) and median tumor size of 5. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S25424548173011
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http://dx.doi.org/10.1016/j.mayocpiqo.2017.11.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124341PMC
March 2018
18 Reads

Laparoscopic Trans-Abdominal Right Adrenalectomy for a Large Primitive Adrenal Oncocytic Carcinoma: A Case Report and Review of Literature.

Am J Case Rep 2018 Sep 15;19:1096-1102. Epub 2018 Sep 15.

Department of General Surgery, Istituto Clinico Sant'Ambrogio, Milan, Italy.

BACKGROUND Adrenocortical oncocytic neoplasms (AONs) are extremely rare tumors. AONs are classified as: oncocytoma (AO), oncocytic neoplasm of uncertain malignant potential (AONUMP), and oncocytic carcinoma (AOC). Among the 162 reported cases of AONs in the literature, 30 cases were classified as malignant. Read More

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https://www.amjcaserep.com/abstract/index/idArt/910259
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http://dx.doi.org/10.12659/AJCR.910259DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6152586PMC
September 2018
21 Reads

Paragonimus westermani infection manifesting as a pulmonary cavity and adrenal gland mass: A case report.

J Infect Chemother 2019 Mar 10;25(3):200-203. Epub 2018 Sep 10.

Department of Internal Medicine, Keimyung University School of Medicine, Dongsan Medical Center, Republic of Korea. Electronic address:

We report a case of Paragonimus westermani infection simultaneously affecting two separate organs that presented as both a pulmonary cavity and adrenal mass in an immunocompromised host. A 65-year-old male with a previous kidney transplant visited our clinic because of hemoptysis. Chest computed tomography (CT) showed a pulmonary cavity and right adrenal gland mass. Read More

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http://dx.doi.org/10.1016/j.jiac.2018.08.005DOI Listing
March 2019
7 Reads

Bilateral Adrenocortical Adenomas along with Virilization and Cushing's Syndrome.

Intern Med 2019 Feb 12;58(3):405-409. Epub 2018 Sep 12.

Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, Japan.

We herein present the case of a 27-year-old woman with clinical and biochemical features of virilism. Imaging studies revealed the presence of a bilateral adrenal tumor. Although the secretion of androgens was remarkable, the autonomous production of cortisol was also evident because of a loss of circadian rhythm and the absence of cortisol suppression by dexamethasone. Read More

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http://dx.doi.org/10.2169/internalmedicine.0790-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395137PMC
February 2019
2 Reads

Can Adrenal Adenomas Be Differentiated From Adrenal Metastases at Single-Phase Contrast-Enhanced CT?

AJR Am J Roentgenol 2018 Nov 12;211(5):1044-1050. Epub 2018 Sep 12.

1 Department of Medical Imaging, The Ottawa Hospital, The University of Ottawa, 1053 Carling Ave, Ottawa, ON K1Y 4E9, Canada.

Objective: The purpose of this study is to evaluate whether adrenal metastases can be reliably differentiated from adenomas at single-phase contrast-enhanced CT.

Materials And Methods: Sixty-one consecutive patients from a single-institution lung cancer registry (40 metastases and 36 adenomas) who underwent single-phase contrast-enhanced CT at baseline diagnosis were retrospectively studied by two radiologists (blinded to the diagnoses) who independently evaluated four features previously described in adenomas: smooth margin, rim enhancement, central vein sign (preserved adrenal vein), and homogeneity (using a 5-point Likert scale). A third radiologist measured size and attenuation and performed quantitative texture analysis. Read More

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http://dx.doi.org/10.2214/AJR.17.19276DOI Listing
November 2018
9 Reads

First report of concomitant pheochromocytoma and duodenal neuroendocrine tumour in a sporadic multiple endocrine neoplasia type 1.

BMJ Case Rep 2018 Sep 4;2018. Epub 2018 Sep 4.

Internal Medicine, Providence Health System, Washington, District of Colombia, USA.

A 77-year-old woman was diagnosed with pheochromocytoma followed by adrenalectomy at age 57. Hyperparathyroidism without osteoprosis was diagnosed at age 58. At age 75, Dual Energy X-ray Absoptiometry (DEXA) revealed osteoporosis and sestamibi scan showed a left parathyroid adenoma. Read More

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http://dx.doi.org/10.1136/bcr-2017-222947DOI Listing
September 2018
11 Reads

Retrolaparoscopic adrenalectomy assisted by three-dimensional reconstructed digital model in a patient with situs inversus totalis.

World J Surg Oncol 2018 Aug 20;16(1):173. Epub 2018 Aug 20.

Department of Urology, First Hospital of Shanxi Medical University, No. 85, Jiefangnan Road, Taiyuan, 030001, Shanxi, China.

Background: Situs inversus totalis is a relatively rare congenital anomaly. Performing the retrolaparoscopic adrenalectomy for the patient with situs inversus totalis is a skill-demanding and challenging surgical task, which has been even more rarely reported.

Case Presentation: We present a case with a large right adrenal mass (10. Read More

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http://dx.doi.org/10.1186/s12957-018-1473-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6102888PMC
August 2018
38 Reads

Preliminary clinical experience with robotic retroperitoneoscopic pancreatic surgery.

World J Surg Oncol 2018 Aug 16;16(1):171. Epub 2018 Aug 16.

Military Institution of Hepatopancreatobiliary Surgery, Second Department of Hepatopancreatobiliary Surgery, Chinese People's Liberation Army (PLA) General Hospital, 28 Fuxing Road, Beijing, 100853, China.

Backgrounds: Retroperitoneoscopic surgery has shown advantages in urological surgery. However, its application in pancreatic surgery for neoplasm is rare. Robotic surgical system with its magnified view and flexible instruments may provide a superior alternative to conventional laparoscopic system in retroperitoneoscopic surgery. Read More

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http://dx.doi.org/10.1186/s12957-018-1468-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097221PMC
August 2018
24 Reads
1.200 Impact Factor

Adrenocortical adenoma manifesting as false-positive iodine accumulation in a patient with history of thyroid carcinoma.

Radiol Case Rep 2018 Oct 3;13(5):949-951. Epub 2018 Aug 3.

Institute for Advanced Biomedical Technologies, Via Luigi Polacchi, 11, 66100 Chieti, Italy.

A 47-year-old female diagnosed with well-differentiated papillary thyroid carcinoma was referred to our center for a Iodine whole body scintigraphy as follow-up. The patient had been previously treated with total thyroidectomy and ablative dose of 175mCi I three years ago. Diagnostic I scan showed a zone of radioiodine uptake in posterior aspect of the left upper quadrant of the abdomen. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.07.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083374PMC
October 2018
4 Reads

Characterization of fluorescence patterns exhibited by different adrenal tumors: Determining the indications for indocyanine green use in adrenalectomy.

Surgery 2018 11 4;164(5):972-977. Epub 2018 Aug 4.

Department of Endocrine Surgery, Cleveland Clinic, OH. Electronic address:

Background: A number of small studies have reported the use of indocyanine green imaging during adrenalectomy. Nevertheless, imaging properties of different tumors and the indications for indocyanine green imaging use in adrenalectomy have not been defined.

Methods: This is an Institutional Review Board-approved retrospective review of a prospectively maintained database. Read More

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http://dx.doi.org/10.1016/j.surg.2018.06.012DOI Listing
November 2018
11 Reads

Using the modified Dixon technique to evaluate incidental adrenal lesions on 3T MRI.

Radiologia 2018 Nov - Dec;60(6):485-492. Epub 2018 Aug 2.

Servicio de Radiología, Hospital Clínico Universitario, Santiago de Compostela, España.

Objectives: To use the mDIXON-Quant sequence to quantify the fat fraction of adrenal lesions discovered incidentally on CT studies. To analyze the relation between the signal loss between in-phase and out-of-phase T1-weighted sequences and the fat fraction in mDIXON-Quant. To compare the sensitivity and specificity of the two methods for characterizing adrenal lesions. Read More

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http://dx.doi.org/10.1016/j.rx.2018.06.001DOI Listing
August 2018
3 Reads

Robot-assisted Partial Adrenalectomy for the Treatment of Conn's Syndrome: Surgical Technique, and Perioperative and Functional Outcomes.

Eur Urol 2019 May 1;75(5):811-816. Epub 2018 Aug 1.

Department of Urology, "Regina Elena" National Cancer Institute, Rome, Italy.

Background: In the era of minimally invasive surgery, partial adrenalectomy has certainly been underused. We aimed to report surgical technique and perioperative, pathologic, and early functional outcomes of a two-center robot-assisted partial adrenalectomy (RAPA) series.

Objective: To detail surgical technique of RAPA for unilateral aldosterone-producing adenoma (UAPA), and to report perioperative and 1-yr functional outcomes. Read More

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http://dx.doi.org/10.1016/j.eururo.2018.07.030DOI Listing
May 2019
4 Reads

Relationship Among Tumor Attenuation Value of Pre-contrast Computed Tomography (CT), Washout Rate and Constituent Cells in Adrenal Adenoma: Proposition of a New Approach for Diagnosing Adrenal Adenoma on Dynamic CT.

Anticancer Res 2018 Aug;38(8):4767-4773

Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Aim: To elucidate the relationship among tumor attenuation of pre-contrast-enhanced (TApre) computed tomography (CT), washout rate and clear cell ratio (CCR) in adrenal adenoma (AA) and propose a new approach for diagnosing AA on dynamic CT.

Materials And Methods: The training set consisted of 43 AAs and 15 non-AAs, while the validation set comprised 44 AAs and 11 non-AAs. Using the training set, the pairwise correlation between CCR, TApre and washout rate in AA was evaluated by linear regression analysis. Read More

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http://dx.doi.org/10.21873/anticanres.12785DOI Listing
August 2018
17 Reads

Nonfunctioning adrenal incidentaloma: A novel predictive factor for metabolic syndrome.

Clin Endocrinol (Oxf) 2018 Nov 21;89(5):586-595. Epub 2018 Aug 21.

Department of Internal Medicine and Endocrine Unit, Medical School and Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.

Context: Although metabolic syndrome has been studied in patients with autonomous cortisol secretion, there are limited data for those with nonfunctioning adrenal incidentaloma (NFAI).

Objective: To assess metabolic syndrome frequency in NFAI patients and controls without adrenal adenoma according to World Health Organization (WHO), National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III), American Association of Clinical Endocrinologists/American College of Endocrinology (AACE/ACE) and International Diabetes Federation (IDF) criteria.

Design: Retrospective and transversal study. Read More

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http://dx.doi.org/10.1111/cen.13822DOI Listing
November 2018
5 Reads

Practical Approach to Adrenal Imaging.

Urol Clin North Am 2018 Aug;45(3):365-387

Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street Unit 1473, Houston, TX 77030, USA.

Various pathologies can affect the adrenal gland. Noninvasive cross-sectional imaging is used for evaluating adrenal masses. Accurate diagnosis of adrenal lesions is critical, especially in cancer patients; the presence of adrenal metastasis changes prognosis and treatment. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.03.005DOI Listing
August 2018
20 Reads