Radiographic Characteristics of Adrenal Masses in Oncologic Patients
Endocrinology and Metabolism
;
: 147-152, 2016.
Article
in English
| WPRIM
| ID: wpr-116058
ABSTRACT
BACKGROUND:
We aimed to assess the usefulness of pre-contrast Hounsfield unit (HU) and mass size on computed tomography to differentiate adrenal mass found incidentally in oncologic patients.METHODS:
From 2000 to 2012, 131 oncologic patients with adrenal incidentaloma were reviewed retrospectively. Receiver operating characteristic (ROC) curves were applied to determine the optimal cut-off value of the mean HU and size for detecting adrenal metastasis.RESULTS:
The median age was 18 years, and 80 patients were male. The initial mass size was 18 mm, and 71 (54.2%) of these were on the left side. A bilateral adrenal mass was found in 11 patients (8.4%). Biochemically functional masses were observed in 9.2% of patients. Thirty-six out of 119 patients with nonfunctional masses underwent adrenalectomy, which revealed metastasis in 13. The primary cancers were lung cancer (n=4), renal cell carcinoma (n=2), lymphoma (n=2), hepatocellular carcinoma (n=2), breast cancer (n=1), and others (n=2). The area under the curve for the size and HU for clinically suspicious metastasis were 0.839 (95% confidence interval [CI], 0.761 to 0.900; P20 can be used as a diagnostic reference to suggest metastasis in oncologic patients with adrenal masses.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Breast Neoplasms
/
Carcinoma, Renal Cell
/
Retrospective Studies
/
ROC Curve
/
Adrenalectomy
/
Carcinoma, Hepatocellular
/
Lung Neoplasms
/
Lymphoma
/
Neoplasm Metastasis
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Endocrinology and Metabolism
Year:
2016
Type:
Article
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