Journal ArticleDOI
Computed tomography in the diagnosis of adrenal disease.
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TLDR
In this article, a series of 63 patients with suspected adrenal disease was evaluated by computed tomography (CT) and the CT results were correlated with surgical, postmortem, or compelling clinical data.Abstract:
A series of 63 patients with suspected adrenal disease was evaluated by computed tomography (CT). In 15 additional patients CT diagnosed unsuspected adrenal disease. The CT results were correlated with surgical, postmortem, or compelling clinical data. In those patients with adequate visualization of both adrenals, CT correctly identified all adrenal masses subsequently proven at surgery or postmortem examination. CT accurately predicted the presence or absence of a unilateral adrenal neoplasm in patients with Cushing's syndrome and primary aldosteronism. Unsuspected primary or metastatic neoplasms of the adrenals were occasionally detected in patients scanned for other reasons. CT is a safe and accurate method of evaluating patients with suspected adrenal disease.read more
Citations
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Journal ArticleDOI
Incidentally discovered adrenal masses
TL;DR: An increase in prevalence of adrenal masses is likely to occur if the spatial resolving capacity of abdominal imaging improves, if abdominal imaging occurs more frequently, and if routine abdominal imaging slice thickness is decreased.
Journal ArticleDOI
The Incidentally Discovered Adrenal Mass
TL;DR: An approach is needed to determine which incidentally discovered masses of the adrenal gland should be removed, based on the relative prevalence of benign and malignant clinically silent adrenal tumors.
Journal ArticleDOI
Nonfunctioning adrenal masses: incidental discovery on computed tomography
TL;DR: Sixteen adrenal masses were identified with computed tomography in patients who had no clinical or biochemical evidence of adrenal pathology, and a management plan of nonfunctioning Adrenal masses discovered incidentally on CT is proposed.
Journal ArticleDOI
Approach to the Patient with an Adrenal Incidentaloma
TL;DR: Patients with features consistent with Cushing's syndrome, such as glucose intolerance, weight gain, and unexplained osteopenia, should be evaluated for cortisol excess and the dexamethasone suppression test and late-night salivary cortisol may be preferred over measurement of urine cortisol.
Journal ArticleDOI
Serendipitous adrenal masses: Prevalence, significance, and management
TL;DR: It is concluded that serendipitous adrenal masses are usually small, nonfunctioning, and benign, the most common lesion being adrenocortical adenoma.
References
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Journal ArticleDOI
Cushing's syndrome.
TL;DR: The most common cause of Cushing's disease is caused by basophil pituitary microadenomas which may be successfully treated by trans-sphenoidal hypophysectomy as discussed by the authors.
Journal ArticleDOI
Diagnosis and localization of aldosterone-producing adenomas by adrenal-vein cateterization.
TL;DR: Preoperative demonstration of the tumor radiographically, as by retroperitonea, indicates the presence of primary aldosteronism before operation.
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Location of aldosterone-producing adenomas with 131I-19-iodocholesterol.
TL;DR: Using 131I-19-iodocholesterol as an adrenal-imaging agent in 27 hypertensive patients who had biochemical evidence of abnormalities in the renin-angiotensin-aldosterone system may locate the tumor before operation.
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Primary aldosteronism. Photoscanning of tumors after administration of 131 I-19-iodocholesterol.
Jerome W. Conn,Rikushi Morita,Edwin L. Cohen,William H. Beierwaltes,W. J. McDonald,Karl R. Herwig +5 more
TL;DR: An intravenously administered tracer dose of 19-iodocholesterol labeled with radioactive iodine was given to four patients whose aldosterone-producing tumors had been visualized by adrenal venography, revealing primary aldosteronism and dexamethasone suppression inhibited completely the uptake of radioactivity by both adrenals in the hyperplasia case.
Journal ArticleDOI
Use of computed tomography in diagnosing the cause of primary aldosteronism.
Eric A. White,Morris Schambelan,Charles R. Rost,Edward G. Biglieri,Albert A. Moss,Melvin Korobkin +5 more
TL;DR: Computed tomography was performed in 22 consecutive patients with primary aldosteronism to evaluate the usefulness of this technique in diagnosing and locating aldosterone-producing adenosine-producing glands.