Document Detail


Management of adrenal incidentaloma: size still matters.
MedLine Citation:
PMID:  22674108     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 56-year-old man was found to have an adrenal incidentaloma on a CT scan of the abdomen. Clinically and biochemically, the mass was not functional. MRI scan revealed a heterogeneously enhancing, T2-hyperintense, right-sided adrenal mass (4.5×6.5 cm). Meta-iodo-benzylguanidine scan was normal, making a diagnosis of pheochromocytoma unlikely. As the mass was larger that 4 cm, it was excised and histopathological examination revealed a rare, composite tumour: benign adrenal adenoma with haemangiomatous and myelolipomatous components. This case highlights the difficulties encountered by a clinician faced with investigating a potentially malignant adrenal mass (based on size) and correlates radiological findings with a rare histopathological specimen.
Authors:
Jordan S T Bowen; Andrew Parker; Shubha S Bellur; Bangalore Anilkumar; David Dove; Greg P Sadler; Upendram Srinivas-Shankar
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-11-08
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-07     Completed Date:  2013-08-26     Revised Date:  2013-12-05    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / pathology*,  surgery*
Adrenalectomy
Humans
Male
Middle Aged
Organ Size
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