ABSTRACT
Clinically silent adrenal masses (incidentaloma) are incidentally discovered lesions, when noninvasive imaging methods (USG, CT, MRI) are performed for reasons other than known or suspected adrenal disease. Most studies report on a prevalence of adrenal incidentaloma range between 1% and 10% in radiological series. Between 1994 and 1999 we observed in our Department 57 patients with incidentalomas of adrenal glands. After endocrinological evaluation silent Cushing's syndrome was found in 2 cases (3.5%). Fifty two patients were qualified for surgery. Adrenocortical adenoma was diagnosed in 73.1%; adrenocortical carcinoma in 7.7%; pheochromocytoma in 7.7% and less frequent adrenal lesions in 11.5%. All adrenal carcinomas and malignant pheochromocytomas (11.5%) were found in tumors with diameter over 4 cm.
Subject(s)
Adrenal Cortex Neoplasms/diagnostic imaging , Adrenal Cortex Neoplasms/epidemiology , Adrenal Cortex Neoplasms/pathology , Adrenocortical Adenoma/diagnostic imaging , Adrenocortical Adenoma/epidemiology , Adrenocortical Adenoma/pathology , Adrenocortical Carcinoma/diagnostic imaging , Adrenocortical Carcinoma/epidemiology , Adrenocortical Carcinoma/pathology , Adult , Aged , Diagnosis, Differential , Female , Humans , Incidence , Male , Middle Aged , Pheochromocytoma/diagnostic imaging , Pheochromocytoma/epidemiology , Pheochromocytoma/pathology , Poland/epidemiology , RadiographyABSTRACT
The primary hyperparathyroidism (PHP) is a complex of nosological symptoms associated with disturbances of calcium-phosphate equilibrium and bone metabolism, caused by excessive secretion of parathormone. In the past regarded as a rare entity, today it is arousing great interest due to ever more frequent diagnosis of it in the stage of subtle changes or in the asymptomatic period. Untreated PHP leads to the development of a number of organ complications, and even to a life-threatening state, that is hypercalcemic crisis. The authors discussed differential diagnostic and localisation difficulties in PHP on example of own observations.
Subject(s)
Hyperparathyroidism/diagnosis , Female , Humans , Middle AgedABSTRACT
A case is presented of a 62-year-old female patient treated for 18 months for depression syndrome. Occurrence of hypercalcaemic crisis enabled the diagnosis of primary hyperparathyroidism. Differential diagnostic difficulties are discussed.
Subject(s)
Depressive Disorder/etiology , Hypercalcemia/etiology , Hyperparathyroidism/diagnosis , Diagnosis, Differential , Female , Humans , Hyperparathyroidism/complications , Middle AgedABSTRACT
The primary hyperparathyroidism (PHP) is a complex of nosological symptoms associated with disturbances of calcium-phosphate equilibrium and bone metabolism, caused by excessive secretion of parathyroid hormone. In the past regarded as rare entity, today it is arousing great interest due to ever more frequent diagnosis of it in the stage of subtle psychoneurological changes or in the asymptomatic period. Untreated PHP leads to the development of a number of organ complications, and even to a life-threatening state, that is hypercalcemic crisis. Surgical operation is the treatment of choice.
