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An Adrenal Incidentaloma: How Often Is It Detected and What Are the Consequences?

Objectives. The aim of this study was to investigate the detection rate of adrenal incidentalomas and subsequent workup. Design. Retrospective cohort study. Methods. Two investigators evaluated the adrenals on abdominal CT scans. Abnormalities were compared to the original radiology reports and an e...

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Autores principales: Minnaar, E. M., Human, K. E., Henneman, D., Nio, C. Y., Bisschop, P. H., Nieveen van Dijkum, E. J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045521/
https://www.ncbi.nlm.nih.gov/pubmed/24967279
http://dx.doi.org/10.5402/2013/871959
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author Minnaar, E. M.
Human, K. E.
Henneman, D.
Nio, C. Y.
Bisschop, P. H.
Nieveen van Dijkum, E. J. M.
author_facet Minnaar, E. M.
Human, K. E.
Henneman, D.
Nio, C. Y.
Bisschop, P. H.
Nieveen van Dijkum, E. J. M.
author_sort Minnaar, E. M.
collection PubMed
description Objectives. The aim of this study was to investigate the detection rate of adrenal incidentalomas and subsequent workup. Design. Retrospective cohort study. Methods. Two investigators evaluated the adrenals on abdominal CT scans. Abnormalities were compared to the original radiology reports and an experienced abdominal radiologist reviewed the CT scans. All additional imaging and laboratory tests were assessed. Results. The investigators detected 44/356 adrenal incidentalomas (12%). In 25 patients an adrenal incidentaloma had been noted in the radiology report. The expert radiologist agreed on 19 incidentalomas in 17 patients, two with bilateral incidentalomas. Of the 25 incidentaloma patients, 4 (16%) patients were screened for hormonal overproduction and 2 (8%) patients had follow-up imaging studies. Conclusions. 12% of the patients had an adrenal incidentaloma (42 of 356). 17 (40%) had initially not been reported by the radiologist. When diagnosed with an adrenal incidentaloma, only a small percentage of patients (16%) is screened or undergoes repeated imaging (8%) as proposed in the National Institutes of Health (NIH) guidelines on adrenal incidentalomas.
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spelling pubmed-40455212014-06-25 An Adrenal Incidentaloma: How Often Is It Detected and What Are the Consequences? Minnaar, E. M. Human, K. E. Henneman, D. Nio, C. Y. Bisschop, P. H. Nieveen van Dijkum, E. J. M. ISRN Radiol Clinical Study Objectives. The aim of this study was to investigate the detection rate of adrenal incidentalomas and subsequent workup. Design. Retrospective cohort study. Methods. Two investigators evaluated the adrenals on abdominal CT scans. Abnormalities were compared to the original radiology reports and an experienced abdominal radiologist reviewed the CT scans. All additional imaging and laboratory tests were assessed. Results. The investigators detected 44/356 adrenal incidentalomas (12%). In 25 patients an adrenal incidentaloma had been noted in the radiology report. The expert radiologist agreed on 19 incidentalomas in 17 patients, two with bilateral incidentalomas. Of the 25 incidentaloma patients, 4 (16%) patients were screened for hormonal overproduction and 2 (8%) patients had follow-up imaging studies. Conclusions. 12% of the patients had an adrenal incidentaloma (42 of 356). 17 (40%) had initially not been reported by the radiologist. When diagnosed with an adrenal incidentaloma, only a small percentage of patients (16%) is screened or undergoes repeated imaging (8%) as proposed in the National Institutes of Health (NIH) guidelines on adrenal incidentalomas. Hindawi Publishing Corporation 2012-11-28 /pmc/articles/PMC4045521/ /pubmed/24967279 http://dx.doi.org/10.5402/2013/871959 Text en Copyright © 2013 E. M. Minnaar et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Minnaar, E. M.
Human, K. E.
Henneman, D.
Nio, C. Y.
Bisschop, P. H.
Nieveen van Dijkum, E. J. M.
An Adrenal Incidentaloma: How Often Is It Detected and What Are the Consequences?
title An Adrenal Incidentaloma: How Often Is It Detected and What Are the Consequences?
title_full An Adrenal Incidentaloma: How Often Is It Detected and What Are the Consequences?
title_fullStr An Adrenal Incidentaloma: How Often Is It Detected and What Are the Consequences?
title_full_unstemmed An Adrenal Incidentaloma: How Often Is It Detected and What Are the Consequences?
title_short An Adrenal Incidentaloma: How Often Is It Detected and What Are the Consequences?
title_sort adrenal incidentaloma: how often is it detected and what are the consequences?
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045521/
https://www.ncbi.nlm.nih.gov/pubmed/24967279
http://dx.doi.org/10.5402/2013/871959
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