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Clinical characteristics for 348 patients with adrenal incidentaloma.
[adrenal incidentaloma]
Adrenal
incidentaloma
is
an
adrenal
neoplasm
frequently
encountered
in
clinical
practice
for
which
detection
rates
have
recently
increased
.
We
describe
here
the
clinical
characteristics
of
adrenal
incidentalomas
.
A
retrospective
study
was
performed
examining
the
age
,
sex
,
location
,
size
,
function
,
and
the
histological
findings
for
348
patients
with
an
adrenal
mass
discovered
incidentally
on
computed
tomography
(
CT
)
undertaken
for
health
examination
or
nonadrenal
disease
from
August
2005
to
May
2012
.
Patients
consisted
of
156
males
(
44
.
8
%
)
and
192
females
(
55
.
2
%
)
,
aged
between
20
and
86
.
Adrenal
masses
were
most
commonly
found
in
patients
in
their
sixth
decade
(
32
.
5
%
)
.
Regarding
the
location
of
the
masses
,
62
.
0
%
were
found
in
the
left
adrenal
gland
,
30
.
2
%
were
found
in
the
right
,
and
7
.
8
%
were
found
bilaterally
.
Of
all
of
the
masses
analyzed
,
87
.
1
%
were
1
to
4
cm
in
size
,
and
an
adenoma-like
appearance
was
the
most
common
finding
(
75
.
3
%
)
seen
on
CT
scans
.
Hormonal
analysis
showed
that
82
.
2
%
of
the
masses
were
nonfunctioning
,
6
.
0
%
were
diagnosed
as
subclinical
Cushing
's
syndrome
,
4
.
6
%
were
aldosterone-producing
adenomas
,
and
7
.
2
%
were
pheochromocytomas
.
Adrenalectomy
was
performed
in
a
total
of
69
patients
having
adenoma
(
50
.
7
%
)
,
pheochromocytoma
(
24
.
6
%
)
,
and
carcinoma
(
4
.
3
%
)
.
The
characteristics
of
benign
,
malignant
,
nonfunctional
,
and
functional
adrenal
masses
that
were
incidentally
found
at
our
hospital
were
similar
to
those
presented
in
other
studies
.
Diseases
Validation
Diseases presenting
"neoplasm"
symptom
adrenal incidentaloma
alexander disease
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial hypocalciuric hypercalcemia
focal myositis
hodgkin lymphoma, classical
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
liposarcoma
lymphangioleiomyomatosis
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
This symptom has already been validated
