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Adrenal incidentaloma: A puzzle for clinician.
[adrenal incidentaloma]
An
adrenal
incidentaloma
(
AI
)
is
a
puzzle
for
clinician
.
In
the
era
of
widespread
use
of
CT
and
MRI
,
it
is
becoming
an
increasingly
frequent
diagnosis
.
A
detailed
list
of
investigations
is
ordered
to
diagnose
pathology
responsible
for
AI
.
Most
likely
etiology
of
AI
is
pathology
of
AI
is
benign
non-
functional
adenoma
.
But
looking
to
the
need
of
specific
preoperative
preparation
for
functional
adrenal
adenoma
and
importance
of
early
diagnosis
in
adrenal
carcinoma
,
a
complete
workup
is
essential
.
CT
scan
of
adrenals
with
contrast
gives
maximum
information
about
nature
of
lesion
.
In
general
,
a
lesion
more
than
6
cm
or
a
functioning
AI
or
tumor
signal
intensity
of
more
than
10
HU
on
unenhanced
image
,
significant
enhancement
on
contrast
and
deenhancement
in
signal
intensity
of
less
than
50
%
is
suggestive
of
carcinoma
and
must
be
removed
.
Those
AI
which
are
left
for
observation
,
also
needs
regular
testing
and
if
found
functional
on
subsequent
follow-up
or
if
their
size
enlarge
,
they
must
be
removed
.
Diseases
Validation
Diseases presenting
"importance of early diagnosis in adrenal carcinoma"
symptom
adrenal incidentaloma
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