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Metabolic and anatomic characteristics of benign and malignant adrenal masses on positron emission tomography/computed tomography: a review of literature.
[adrenal incidentaloma]
PET
/
CT
with
(
18
)
F-
fluorodeoxyglucose
(
FDG
)
or
using
different
radiocompounds
has
proven
accuracy
for
detection
of
adrenal
metastases
in
patients
undergoing
cancer
staging
.
It
can
assist
the
diagnostic
work-up
in
oncology
patients
by
identifying
distant
metastases
to
the
adrenal
(
s
)
and
defining
oligometastatic
disease
that
may
benefit
from
targeted
intervention
.
In
patients
with
incidentally
discovered
adrenal
nodules
,
so
-called
adrenal
"
incidentaloma
"
FDG
PET
/
CT
is
emerging
as
a
useful
test
to
distinguish
benign
from
malignant
etiology
.
Current
published
evidence
suggests
a
role
for
FDG
PET
/
CT
in
assessing
the
malignant
potential
of
an
adrenal
lesion
that
has
been
'
indeterminately
'
categorized
with
unenhanced
CT
,
adrenal
protocol
contrast-enhanced
CT
,
or
chemical-shift
MRI
.
FDG
PET
/
CT
could
be
used
to
stratify
patients
with
higher
risk
of
malignancy
for
surgical
intervention
,
while
recommending
surveillance
for
adrenal
masses
with
low
malignant
potential
.
There
are
caveats
for
interpretation
of
the
metabolic
activity
of
an
adrenal
nodule
on
PET
/
CT
that
may
lead
to
false-
positive
and
false-negative
interpretation
.
Adrenal
lesions
represent
a
wide
spectrum
of
etiologies
,
and
the
typical
appearances
on
PET
/
CT
are
still
being
described
,
therefore
our
goal
was
to
summarize
the
current
diagnostic
strategies
for
evaluation
of
adrenal
lesions
and
present
metabolic
and
anatomic
appearances
of
common
and
uncommon
adrenal
lesions
.
In
spite
of
the
emerging
role
of
PET
/
CT
to
differentiate
benign
from
malignant
adrenal
mass
,
especially
in
difficult
cases
,
it
should
be
emphasized
that
PET
/
CT
is
not
needed
for
most
patients
and
that
many
diagnostic
problems
can
be
resolved
by
CT
and
/
or
MR
imaging
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated