Diagnosis of adrenal glands incidentaloma
Journal Title: Медичні перспективи - Year 2017, Vol 22, Issue 3
Abstract
In this study the results of examination and treatment of 91 patients with adrenal glands incidentaloma were analyzed. According to the results of the morphological study, adenomas were the most common (n=60). Among malignant tumors, ACC was detected in 7 patients, low and undifferentiated cancer – in 3 patients, sarcoma – in 2 patients and metastasis of cancer – in 4 patients. To assess the nature of the tumor, the following criteria were used: size and density according to CT. In 43 patients with neoplasms less than 4 cm in 9,3% of cases malignant adrenalomas occurred, at 4-6 cm (n=29) - in 17,2% of cases, more than 6 cm (n=19) - in 31,6%. In patients with ACC, 71,4% of tumors exceeded 6 cm, 28,5% - were within 4-6 cm, 14,1% - less than 4 cm. The frequency of detection of malignant incidentalomas increases in proportion to the growth of tumor size, and with a diameter of more than 4 cm it was 27,1%. Adrenal adenomas in 31.6% of cases were from 4 to 6 cm, and in 10% - more than 6 cm. Thus, the orientation only on the size of tumors did not provide enough convincing grounds for determining its malignant potential. High native density was noted in ACC (33.4±2.8 HU), ganglioneuroma (36.6 НU) and metastases of cancer (43.6±9.0 HU). Low density was found in adenomas (0.4±10.7 HU) and adrenal cysts (6.0±8.2 HU), p<0.05. The most informative method of investigation in adrenal incidentalomas was CT, with sensitivity in adenomas and cancers – 98,3% and 94,4% respectively, specificity – 82,4% and 84,6%.
Authors and Affiliations
O. B. Kutovoy, E. V. Zhmurenko, L. V. Kunyk
Keywords
Related Articles
- EP ID EP229900
- DOI 10.26641/2307-0404.2017.3.111925
- Views 110
- Downloads 0
Статистичний аналіз лагоджень повних знімних протезів верхньої щелепи за трирічний термін користування
Статистический анализ ремонтов полных съемных протезов верхней челюсти за трехлетний период использования. Василенко Р.Э. Цель исследования - анализ пользования полными съемными пластиночными протезами (ПСПП) на верхнюю...
The criteria of diagnostic of pulmonary tuberculosis activity in patients working in hazardous working conditions
The article presents the analysis of clinical examination data of 76 patients with tuberculosis: 51 patients (1 group) who worked in hazardous conditions and 25 patients (2 group) who had no contact with hazardous factor...
Особливості стану місцевого імунітету слизових верхніх дихальних шляхів у дітей – вихованців дитячих будинків та ефективність сезонної профілактики ГРВІ з використанням багатокомпонентного рослинного препарату
Обследовано 116 детей из детских домов в возрасте от 3 до 17 лет в периоде клинического благополучия. Вопрос о возможности проведения иммунологического обследования детей из организованных коллективов и необходимость про...
Chronic comorbidity of internal organs as a risk factor of complications and fatal outcome of community-acquired pneumonia
With the purpose to estimate influence of comorbidity at the risk of complications and death due to community-acquired pneumonia (CAP) the retrospective analysis of 1587 case histories of inpatients with CAP (mean age –...
The risk of sudden death in sport in patients with signs of connective tissue dysplasia (literature review)
Literature review indicates that, despite the disclosure of a number of causes and mechanisms of sudden death in people performing physical activities, this issue remains relevant today. The main cause of sudden death in...