IF: 0.478
Cite Score:
0.54
THOMSON REUTERS - SCOPUS

Imaging Workup of Incidentally Discovered Adrenal Masses in Oncologic Patients

AUTHORS

Masoomeh Raoufi 1 , * , Hamidreza Haghighatkhah 1

AUTHORS INFORMATION

1 Department of Radiology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

ARTICLE INFORMATION

Iranian Journal of Radiology: 11 (30th Iranian Congress of Radiology); e21337
Published Online: February 28, 2014
Article Type: Research Article
Crossmark

Crossmark

CHEKING

READ FULL TEXT
Abstract

As the use of cross-sectional imaging continues to rise, adrenal masses are more frequently detected incidentally in the daily practice of radiology. The goal of adrenal imaging is to characterize and differentiate the benign leave-alone lesions from those that require treatment without exhaustive workup. Most of incidentally found masses are benign, with adenoma being the most common pathology. However, the adrenal gland is a common site of metastasis. Also, of clinical concern are primary adrenal neoplasms that may require proper management, e.g., pheochromocytoma, aldosteronoma, cortisol-producing adenoma, and adrenal cortical carcinoma. Prior history of malignancy is one of the most important determinants in the workup of incidental adrenal lesions. Differentiating a benign from metastatic adrenal mass in patients in whom the adrenal gland is the only potential site of metastasis would be of more importance, because the diagnosis may alter not only the prognosis but also the treatment options. For example, in a patient with a potentially resectable lung carcinoma and an isolated adrenal mass, differentiating a benign adenoma from a metastasis is critical for accurate staging and determining the most optimal treatment (curative resection vs. chemotherapy). This presentation discusses contemporary adrenal imaging and the optimal algorithm for the workup of incidentally discovered adrenal masses.

Keywords

© 2014, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
Full Text

Full text is available in PDF

COMMENTS

LEAVE A COMMENT HERE: