PPT-A 59 y/o man with bilateral adrenal mass

Problem list Abdominal pain Flank pain LBP Weight loss Headache Ataxia NV Bilateral adrenal mass Adrenal insufficiency Cerebellar mass Old MI HF Anorexia weakness diagnostic approach. 1-. Abdominal masses are common in infants and children,. 2-. and imaging plays an important role in their diagnosis and management. . 3-. Plain radiographs provide clues to the location of the mass and the presence of calcifications. . 1-. Abdominal masses are common in infants and children,. 2-. and imaging plays an important role in their diagnosis and management. . 3-. Plain radiographs provide clues to the location of the mass and the presence of calcifications. . THE EVALUATION OF INCIDENTALLY DISCOVERED ADRENAL MASSES ENDOCRINE PRACTICE Vol 25 No. 2 February 2019 The prevalence of incidentally discovered adrenal masses (also referred to as adrenal . and . subclinical . hypercortisolism. Soheila. . sadeghi. what’s the diagnosis?. Are there any aberrant hormone receptors in this patient?. Does the patient need to a surgery?. Will we do in her follow up?. Recommended screening for all incidentalomas. Test. Cushing's syndrome. Cushing's syndrome. 1 mg overnight dexamethasone suppression test. Pheochromocytoma. Pheochromocytoma. 24-hour urine collection for fractionated metanephrines and catecholamines. Adrenalectomy. due to APA. a case report. Presented . by:B.Rezvankhah.MD. February 2017 . Recommendations . for . screening primary hyperaldosteronism:. All . patients with the combination of hypertension . masses. Dr. Ahmadi. 99.12.18. Problem List:. HTN. Hypokalemia. High ARR. Bilateral Adrenal masses(3cm). High . cortisol . level (. positive. . overnight. dexamethasone suppression test . ). Suppressed ACTH. Radionuclide Scanning . The radionuclide tests are derived from the fact that cholesterol is stored in the adrenal as a long –chain fatty acid ester, prior to being metabolized to form steroid hormones . Cholesterol that has been labeled with . Adrenal Collision Tumors. Contents. Definition. components. Pathogenesis. Diagnosis. Mimics. conclusion. Adrenal . collision tumor was first reported in . 1919. Their . actual prevalence is . unknown. . Khayamzadeh. MD. Retrospective analysis of 70 patients with bilateral adrenal masses presenting to a single tertiary care endocrine centre from western India (2002–2015). . The most common . aetiology. Adrenal glands can be affected by a variety of lesions. Adrenal lesions can either be primary, of adrenal origin, or secondary to other pathologies. Primary adrenal lesions can further be either of cortical or medullary origin. Functioning adrenal lesions can also give clues to the histologic diagnosis and direct workup. Over the years, various imaging techniques have been developed that have increased diagnostic accuracy and helped in better characterization of adrenal lesions non-invasively. In the first part of the two part series, we review adrenal imaging techniques and adrenal cortical tumors such as adenomas, adrenocortical tumors, adrenal hyperplasia and oncocytomas. Dr. Tariq Aladily. tnaladily@ju.edu.jo. Department of Pathology. The University of Jordan. Second semester 2021/2022. Hypercortisolism . AKA Cushing syndrome. Can be exogenous (iatrogenic) or endogenous (less common). Pilechian. 99.12.18. R. eferral . to an endocrinology clinic for re-examination of . adrenal . masses . A 50-year-old woman . known . case . of . HTN . (for . 10 . years. ). , . who has had recurrent episodes of muscle weakness since that time, as it happened about once a month, lasted 24 hours and resolved spontaneously. Paraganglioma. Bilateral adrenal . pheochromocytoma. Unilateral adrenal . pheochromocytoma. and a family history of . pheochromocytoma. /. paraganglioma. Unilateral adrenal . pheochromocytoma. onset at a young age (.