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[Etiologies of 1 173 hospitalized cases with adrenal incidentaloma].
[adrenal incidentaloma]
To
summarize
the
characteristics
of
etiological
distribution
of
adrenal
incidentaloma
during
the
past
20
years
.
All
the
relevant
data
of
adrenal
incidentaloma
patients
admitted
into
Chinese
PLA
General
Hospital
between
January
1993
and
January
2013
were
collected
.
Their
gender
ratio
,
visiting
ages
and
final
diagnoses
were
retrospectively
analyzed
.
There
were
1
173
patients
were
collected
,
of
which
,
629
(
53
.
62
%
)
males
and
544
(
46
.
38
%
)
females
with
a
mean
age
of
(
50
.
84
±
12
.
13
)
years
.
There
were
669
(
57
.
03
%
)
hypertensive
cases
and
622
cases
undergone
adrenalectomy
.
Routine
medical
checkup
and
abdominal
discomfort
led
to
the
discovery
of
adrenal
incidentalomas
.
As
to
the
etiologies
,
there
were
non-
functional
tumors
(
n
=
809
,
68
.
97
%
)
,
pheochromocytoma
(
n
=
137
,
11
.
68
%
)
,
primary
aldosteronism
(
n
=
84
,
7
.
16
%
)
and
adrenal
Cushing
syndrome
(
n
=
65
,
5
.
54
%
)
.
The
proportions
of
adrenal
cortical
carcinomas
and
metastases
were
1
.
70
%
(
n
=
20
)
and
1
.
36
%
(
n
=
16
)
respectively
.
Compared
with
normotension
group
,
the
proportion
of
non-
functional
lesions
in
hypertension
group
was
significant
lower
(
73
.
81
%
vs
65
.
32
%
,
P
<
0
.
05
)
while
the
proportions
of
primary
aldosteronism
and
adrenal
Cushing
syndrome
were
higher
(
11
.
96
%
vs
0
.
79
%
,
5
.
83
%
vs
5
.
18
%
,
both
P
<
0
.
05
)
.
Adrenal
incidentaloma
patients
with
concurrent
hypentension
is
quite
common
.
In
respect
of
etiologies
,
non-
functional
tumor
is
the
most
common
and
followed
by
pheochromocytoma
and
primary
aldosteronism
Cushing
syndrome
.
Diseases
Validation
Diseases presenting
"functional tumor"
symptom
adrenal incidentaloma
cushing syndrome
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