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[The role of computer tomography in differential diagnostic of incidentalomas adrenal glands].
[adrenal incidentaloma]
The
possibilities
of
computer
tomography
(
CT
)
for
differential
diagnosis
of
adrenal
incidentalomas
(
AI
)
were
investigated
.
CT
was
done
for
157
patients
with
AT
:
17
-
-
with
malignant
adrenal
tumors
(
MAT
)
and
70
-
-
with
benign
adrenal
tumors
(
BAT
)
(
61
-
-
adrenocortical
adenoma
,
5
-
-
cyst
,
3
-
-
hematoma
,
1
-
-
myelolipoma
)
.
CT
--main
method
of
topic
diagnostic
for
AI
,
which
allow
to
make
assumption
about
potential
malignancy
AI
in
76
.
5
%
patients
.
Incidentalomas
size
more
than
10
,
1
sm
,
irregular
contours
,
density
more
+
51
HU
,
signs
of
invasion
,
lymphadenopathy
,
regional
or
remote
metastasis
are
the
diagnostic
criteria
for
MAT
.
In
23
.
5
%
cases
with
CT
impossible
to
differentiate
the
malignant
nature
of
AI
.
10
.
0
%
patients
with
BAT
had
a
false
positive
results
,
which
slightly
limits
the
diagnostic
value
of
CT
.
Diseases
Validation
Diseases presenting
"malignant nature"
symptom
adrenal incidentaloma
malignant atrophic papulosis
oral submucous fibrosis
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