[Incidentally discovered adrenal masses in the Department of Internal Medicine, Endocrinology and Hemostatic Disorders, Medical University of Gdansk]
| Autor: | Anna, Babińska, Krzysztof, Sworczak, Małgorzata, Siekierska-Hellmann, Anna, Lewczuk, Krzysztof, Błaut, Lukasz, Obołoiczyk, Piotr, Wiśniewski, Joanna, Zielonko, Lukasz, Kaska, Andrzej, Lachiński |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Radiography Abdominal Adrenal Gland Diseases Adrenal Gland Neoplasms Pheochromocytoma Hospitals University Risk Factors Adrenocortical Carcinoma Prevalence Humans Sex Distribution Aged Retrospective Studies Aged 80 and over Incidental Findings Cysts Biopsy Needle Adrenalectomy Middle Aged Magnetic Resonance Imaging Treatment Outcome Female Laparoscopy Poland Tomography X-Ray Computed |
| Zdroj: | Wiadomosci lekarskie (Warsaw, Poland : 1960). 59(11-12) |
| ISSN: | 0043-5147 |
| Popis: | Clinically silent adrenal masses (incidentaloma) are incidentally discovered lesions when noninvasive imaging methods (ultrasonography--USG, computer tomography--CT, magnetic resonance imaging--MRI) are performed for the reason other than known or suspected adrenal disease. Most of studies report the prevalence of adrenal incidentaloma range between 1 and 10% in radiological series.Between 1993 and 03.2004 we observed 198 patients with incidentalomas of adrenal glands (144 females--72.7% and 54 males--27.3%).After endocrinological evaluation, 164 patients were qualified for surgery. In 119 (72.5%) cases open adrenalectomy was performed, and in 45 (27.5%) laparoscopic adrenalectomy was done. Adrenocortical adenoma was diagnosed in 54.9%, adrenal hyperplasia in 8.5%, adrenal carcinoma in 6.7%, pheochromocytoma in 12.9% (in 3.1% of all cases malignant pheochromocytoma was diagnosed), in 4.9% others malignant tumors (primary or metastatic), in 4.9% adrenal cysts and in 7.1% other rare adrenal pathologies were found.All malignancies were found in tumors with the diameter over 3 cm. In tumors with diameter over 6 cm malignant cases were found in 70.8%. |
| Databáze: | OpenAIRE |
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