Work up of Incidental Adrenal Mass: State of the Art
| العنوان: | Work up of Incidental Adrenal Mass: State of the Art |
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| المؤلفون: | Luigi Schips, Fabiola Raffaella Tamburro, Francesco Berardinelli, Luca Cindolo, Fabio Neri, Pietro Castellan, Maida Bada |
| المصدر: | Urologia Journal. 83:179-185 |
| بيانات النشر: | SAGE Publications, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Incidentaloma, Adrenal Gland Neoplasm, Adrenal Gland Neoplasms, Washout, 030209 endocrinology & metabolism, General Medicine, medicine.disease, Hyperaldosteronism, Work-up, Surgery, Pheochromocytoma, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Hounsfield scale, Dexamethasone suppression test, medicine, Humans, Radiology, business, Algorithms |
| الوصف: | Due to the increasing use of radiological investigations, the detection of incidental adrenal masses has become even more frequent. Therefore, it is crucial to identify the nature of the adrenal mass in order to decide the type of treatment that should be undertaken. Toward this goal, biochemical tests are useful in order to assess catecholamines levels for the presence of a pheochromocytoma or cortisol excess in case of Cushing's syndrome. Furthermore, the dexamethasone suppression test and late-night salivary cortisol may be useful in measuring plasma cortisol, respectively, in the blood and urine. Hyperaldosteronism could be suspected in the presence of arterial hypertension. With regard to imaging modalities, the contrast washout and Hounsfield units estimation might play a role as indicators on computed tomography. In terms of treatment, a surgical approach is most suitable for a hyperfunctioning adrenal mass irrespective of size, and for nonfunctioning masses >4 cm. For indeterminate smaller lesions, with washout >50% |
| تدمد: | 1724-6075 0391-5603 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::98199b48d922d8bf152d1ec964b4b099 https://doi.org/10.5301/uro.5000176 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....98199b48d922d8bf152d1ec964b4b099 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17246075 03915603 |
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