Computed Tomography Characterization of Adrenal Neoplasm
Journal Title: Міжнародний ендокринологічний журнал - Year 2015, Vol 6, Issue 70
Abstract
The objective of the research was to study computed tomography characteristics of adrenal masses. The study involved 98 patients with adrenal neoplasm. Patients underwent clinical-biochemical, hormonal studies, computed tomography of the adrenal glands. In patients with adrenal masses up to 1 cm (n = 57), the length of the adrenal gland was 3.00 ± 0.26/3.06 ± 0.22 cm, which is significantly higher compared with controls (p < 0.01) and (p < 0.001), respectively on the left and on the right. Densitometric parameters of these structures ranged from 27.10 ± 1.59 to 34.86 ± 2.20 on the left and from 25.30 ± 1.32 to 38.13 ± 3.06 on the right and averaged 39.10 ± 1.87 HU. Patients with neoplasm from 1 to 3 cm (n = 17) were significantly different from the healthy controls, but did not differ from the other two groups. Density indicators of these masses varied from 27.40 ± 3.14 HU to 40.80 ± 3.68 HU and averaged 34.10 ± 3.62 HU. In patients with large adrenal neoplasm (n = 24), they have a considerable density, significantly increased in comparison with both controls and two previous groups. Masses originated from pathologically changed, diffusely hyperplastic adrenal tissue, characterized by thickening of the pedicles, increasing the length of up to 3.10 ± 0.38 cm. Corticosteroma is characterized by a significant, relative decrease in the density of neoplasm, density and sizes of the adrenal glands, compared with patients whose cortisol level was normal. In patients with aldosteroma, adrenal sizes were larger, their density variation also prevailed, and density of neoplasm was a peculiar one. Patients with pheochromocytoma, excepting significant upward deviations in the length, thickness and height of adrenal glands on both sides, had adrenal mass which density was difficult to distinguish.
Authors and Affiliations
H. А. Аlimukhamedova, Z. Yu. Khalimova
Keywords
Related Articles
- EP ID EP219433
- DOI -
- Views 66
- Downloads 0
Male hypogonadism (part 2)
The second part of the review shows the current approaches to the methods of diagnosis and treatment of various forms of hypogonadism in men.
Vitamin D Levels in Patients with Autoimmune Thyroiditis with Diminished Thyroid Function
The study examined vitamin D levels in 75 patients with autoimmune thyroiditis (AIT) with diminished thyroid function. The objective of the study — to determine the content of 25(OH)D in patients with overt and subclinic...
Evaluating the informativity and specificity of diagnostic criteria for primary screening for acromegaly
Background. The most effective method for early diagnosis of any disease, and especially such rare as acromegaly, is considered to be population screening in high-risk groups, the introduction of which in Ukraine require...
Diabetes mellitus: the role of genetic factors in the onset of the disease
This paper presents the analysis of the data of studies on the genetics of type 2 diabetes mellitus. High scientific quality papers of the recent years were used to prepare this work. The article deals with the role of s...
The Early Diagnosis of Hypothyroidism as a Factor in the Progression of Osteoarthritis and Comorbid Processes, the Features of Phytocorrection
Objective: to study the prevalence and forms of hypothyroidism in patients with osteoarthritis (OA) and to investigate the effect of phytomedication zobofit on the functional and morphological status of the thyroid gland...