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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
"adrenal mass"
symptom
adrenal incidentaloma
cushing syndrome
dedifferentiated liposarcoma
von hippel-lindau disease
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