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 67
- Downloads 0
Male hypogonadism (Part 1)
The first part of the review presents the current data on the prevalence of male hypogonadism, methods of diagnosing different forms of hypogonadism, describes the clinical manifestations of the most common forms of this...
Insulin Therapy. What
The article deals with the need for insulin therapy in patients with diabetes mellitus (DM) type 2. In recent years, the indications for insulin therapy in patients with DM type 2 have increased significantly. According...
Effective variant of type 2 diabetes mellitus treatment
Background. The purpose was to evaluate the efficiency of phytoextract Ferment S6 as a part of comprehensive therapy in patients with type 2 diabetes mellitus (DM). Materials and methods. Thirty patients with type 2 DM...
Specifics of Diabetic Cardiomyopathy in the Cases of Concomitant Cardiovascular Diseases: Clinical and Ultrastructural Examinations
Introduction. The concept of diabetic cardiomyopathy was first proposed by S. Rubler et al. more than 100 years ago, but this diagnosis іs rarely used by clinicians because of the existence of such co-morbidities as isch...
Impact of Physical Activity on Dyslipidemia Onset in Children and Adolescents with Type 1 Diabetes Mellitus
The problem of treatment optimization for type 1 diabetes mellitus (DM) in children is not completely resolved so far, while recommendations concerning physical activity (PA) regimen usually do not consider the features...