scholarly journals Adrenal masses (diagnosis and differential diagnosis)

2010 ◽  
Vol 56 (1) ◽  
pp. 48-56 ◽  
Author(s):  
N V Molashenko ◽  
M Iu Iukina ◽  
T V Soldatova ◽  
E A Rogal'

This review of the literature is focused on diagnosis and differential diagnosis of adrenal incidentalomas with special reference to diagnostic steps, major pharmacological tests, radiologic and instrumental studies. Strategies of treatment and management of patients with this pathology are described.

2016 ◽  
Vol 13 (4) ◽  
pp. 39-44 ◽  
Author(s):  
Natalya V Molashenko ◽  
Nadezhda M Platonova ◽  
Dmitriy G Beltsevich ◽  
Marina Yu Yukina ◽  
Ekaterina A Troshina

This lecture focuses on the diagnosis and differential diagnosis of adrenal incidentalomas with special reference to diagnostic steps, major pharmacological tests, and instrumental studies. Strategies of management of patients with this pathology are described.


Pituitary ◽  
2015 ◽  
Vol 18 (5) ◽  
pp. 685-694 ◽  
Author(s):  
Kiyohiko Sakata ◽  
Junko Miyoshi ◽  
Nobuyuki Takeshige ◽  
Satoru Komaki ◽  
Naohisa Miyagi ◽  
...  

2012 ◽  
Vol 56 (4) ◽  
pp. 270-274 ◽  
Author(s):  
Roberta Magalhães Tarantino ◽  
Adriano Machado de Lacerda ◽  
Silvio Henriques da Cunha Neto ◽  
Alice Helena Dutra Violante ◽  
Mário Vaisman

Adrenal incidentalomas (AI) are unsuspected adrenal masses discovered during investigation of unrelated diseases, and are increasing in frequency. The majority of the AI is non-secretory adenomas, although it can also represent primary or metastatic malignant neoplasia. However, less frequent diseases should not be forgotten in the differential diagnosis. We describe a case of a young woman with an adrenal mass without clinical or laboratorial signs of hormonal hyperfunction. Diagnosis was performed after an episode of acute pyelonephritis in which the imaging study was carried out in order to exclude local complications. During the surgical procedure, the fish flesh aspect of the mass raised the suspicion of a neurogenic tumor, which was diagnosed in the histophatological analysis. The patient presented the most common manifestation of adrenal ganglioneuroma, an incidentaloma.


1992 ◽  
Vol 33 (3) ◽  
pp. 262-265
Author(s):  
Y. Tsushima ◽  
H. Ishizaka ◽  
T. Kato ◽  
M. Matsumoto

Author(s):  
Monica Maher Amin Nawar ◽  
Sameh Abdel Aziz Zaky Hanna ◽  
Shereen Sadik El-Sawy ◽  
Sally Yehia Shokralla

Abstract Background The term adrenal incidentaloma (AI), by definition, is an adrenal mass that is unexpectedly detected through an imaging procedure performed for reasons unrelated to adrenal dysfunction or suspected dysfunction. Despite their frequent appearance, the challenge remains in recognizing and treating the small percentage of AI that poses a significant risk, either because of their hormonal activity or because of their malignant histology. The aim of this study is to study the role of MRI, specifically chemical shift imaging (CSI), against various MDCT scans (non-enhanced, enhanced, and delayed) in the characterization of incidentally discovered adrenal masses to offer a way for the patients to avoid unnecessary time and money-wasting imaging modalities used to reach a diagnosis of their incidentally discovered adrenal lesions. We examined a total number of 20 patients with total of 22 adrenal lesions. The mean age was 51.1 ± 15.27. Results In our study, we found that among CT parameters, APW and RPW showed the highest sensitivity and specificity for detection of lipid-rich adenomas. CSI has also proven to be the best MR technique. However, there is no statistically significant difference in the diagnostic capability of CSI versus the CT washout technique. Both modalities could be conducted, according to specific patient preferences and/or limitations, with comparable highly accurate outcomes. Conclusion This study demonstrates that a similar diagnostic outcome is obtained from contrast-enhanced CT (CECT) and MRI with CSI of adrenal lesions.


2021 ◽  
Vol 9 ◽  
pp. 2050313X2110008
Author(s):  
Solange De Noon ◽  
Benjamin Ayres ◽  
Uday Patel ◽  
Rami Issa ◽  
Colan Maxwell Ho-Yen

Perivascular epithelioid cell neoplasms represent a group of uncommon mesenchymal tumours with as yet undiscovered benign counterpart. Although perivascular epithelioid cell neoplasms have been described arising in most organ systems as well as in soft tissue and bone, only a small number of perivascular epithelioid cell neoplasms have been reported in the bladder. To date, there is no agreed system for predicting the behaviour of these tumours. We describe a case of a perivascular epithelioid cell neoplasm of the bladder arising in a 57-year-old male and initially diagnosed on biopsy and present a review of the literature focussing on the pathological differential diagnosis and the importance of key histological features in conjunction with a broad immunohistochemical panel. This case report highlights the key features of bladder perivascular epithelioid cell neoplasms that distinguishes these rare neoplasms from other bladder lesions.


2020 ◽  
pp. 100-107
Author(s):  
Michele Boffano ◽  
Nicola Ratto ◽  
Martina Rezzoagli ◽  
Andrea Conti ◽  
Pietro Pellegrino ◽  
...  

Primary non-Hodgkin bone lymphoma (PBL) is a rare disease that accounts for <2% of all lymphomas in adults. PBL can be monostotic or polyostotic, mainly causing destructive and lytic bone lesions frequently located in the femur, humerus, and pelvis. PBL is rarely considered a differential diagnosis of the osteolytic tumor. In addition, PBL is not uncommonly diagnosed with delay because patients do not experience symptoms nor show objective abnormalities in the early stage of disease. Here, we reported a 60-year-old woman with a PBL of the elbow.


2001 ◽  
Vol 110 (10) ◽  
pp. 964-967 ◽  
Author(s):  
Gerd Jürgen Ridder ◽  
Milo Fradis ◽  
Erwin Löhle

Cheilitis granulomatosa Miescher is a rare condition of unknown cause characterized by intermittent lip swelling that gradually persists and causes cosmetic deformity. We report the case of a young woman with cheilitis granulomatosa as a monosymptomatic manifestation of Melkersson-Rosenthal syndrome successfully treated by the antileprosy agent clofazimine, and propose clofazimine as an alternative treatment in cases refractory to corticosteroids. The differential diagnosis and current methods of treatment are summarized, and the literature is reviewed and discussed.


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