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A Case-Based Guide to Clinical EndocrinologyAn Incidentally Discovered Adrenal Mass

A Case-Based Guide to Clinical Endocrinology: An Incidentally Discovered Adrenal Mass Chapter 17 Lynn Loriaux Objective To define satisfactory criteria for deciding when to surgically remove an incidental adrenal mass and when not to. Case Presentation A 42-year-old man was involved in a motor vehicle accident and sustained what was thought to be a seat belt injury leading to chronic right flank pain. A computed tomography (CT) scan of the abdomen was negative except for a right adrenal mass, 3 × 4 cm in size. A magnetic resonance imaging (MRI) showed the same mass and revealed that the mass did not brighten on a T2-weighted image. The patient was referred for an endocrine evaluation. Past medical history, family history, and review of symptoms were unrevealing. Physical examination showed normal vital signs, a body mass index (BMI) of 23, and no signs of endocrine disease. Laboratory evaluation showed a normal complete blood count (CBC), urinalysis, and biochemical profile. Endocrine tests showed nor- mal urine metanephrine, urine free cortisol, plasma rennin activity, and aldosterone, testosterone, and estradiol. A review of the CT scan showed the tumor to have a Hounsfield index of 25. The patient was told that the lesion was likely to be benign in nature and that surgery was not http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Case-Based Guide to Clinical EndocrinologyAn Incidentally Discovered Adrenal Mass

Part of the Contemporary Endocrinology™ Book Series
Editors: Davies, Terry F.
Loriaux, Lynn
A Case-Based Guide to Clinical Endocrinology — Jan 1, 2008
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Publisher
Humana Press
Copyright
© Humana Press,Totowa, NJ 2008
ISBN
978-1-58829-815-7
Pages
163 –166
DOI
10.1007/978-1-60327-103-5_17
Publisher site
See Chapter on Publisher Site

Abstract

Chapter 17 Lynn Loriaux Objective To define satisfactory criteria for deciding when to surgically remove an incidental adrenal mass and when not to. Case Presentation A 42-year-old man was involved in a motor vehicle accident and sustained what was thought to be a seat belt injury leading to chronic right flank pain. A computed tomography (CT) scan of the abdomen was negative except for a right adrenal mass, 3 × 4 cm in size. A magnetic resonance imaging (MRI) showed the same mass and revealed that the mass did not brighten on a T2-weighted image. The patient was referred for an endocrine evaluation. Past medical history, family history, and review of symptoms were unrevealing. Physical examination showed normal vital signs, a body mass index (BMI) of 23, and no signs of endocrine disease. Laboratory evaluation showed a normal complete blood count (CBC), urinalysis, and biochemical profile. Endocrine tests showed nor- mal urine metanephrine, urine free cortisol, plasma rennin activity, and aldosterone, testosterone, and estradiol. A review of the CT scan showed the tumor to have a Hounsfield index of 25. The patient was told that the lesion was likely to be benign in nature and that surgery was not

Published: Jan 1, 2008

Keywords: Adrenal Tumor; Adrenal Mass; Laparoscopic Adrenalectomy; Adrenal Adenoma; Adrenal Lesion

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