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An adrenal tumor or adrenal mass [2] is any benign or malignant neoplasms of the adrenal gland, several of which are notable for their tendency to overproduce endocrine hormones. Adrenal cancer is the presence of malignant adrenal tumors, and includes neuroblastoma , adrenocortical carcinoma and some adrenal pheochromocytomas .
An adrenocortical adenoma or adrenal adenoma is commonly described as a benign neoplasm emerging from the cells that comprise the adrenal cortex. Like most adenomas , the adrenocortical adenoma is considered a benign tumor since the majority of them are non-functioning and asymptomatic .
Myelolipoma (myelo-, from the Ancient Greek μυελός 'marrow'; lipo, 'of, or pertaining to, fat'; -oma 'tumor or mass'; also myolipoma) is a benign tumor-like lesion composed of mature adipose (fat) tissue and haematopoietic (blood-forming) elements in various proportions. [1] Myelolipomas can present in the adrenal gland, [2] or outside of ...
Adrenocortical carcinoma (ACC) is an aggressive cancer originating in the cortex (steroid hormone-producing tissue) of the adrenal gland.. Adrenocortical carcinoma is remarkable for the many hormonal syndromes that can occur in patients with steroid hormone-producing ("functional") tumors, including Cushing's syndrome, Conn syndrome, virilization, and feminization.
The first considerations are size and radiographic appearance of the mass. Suspicious adrenal masses or those ≥4 cm are recommended for complete removal by adrenalectomy. Masses <4 cm may also be recommended for removal if they are found to be hormonally active, but are otherwise recommended for observation. [5]
Most adrenal tumors are noncancerous , often found incidentally as a mass via imaging such as CT scans, MRI, or ultrasound that were taken for other health workups (see incidentaloma). Although these adrenal masses do require evaluation, the majority of them (approximately 80% [ 7 ] ) do not require adrenalectomy.
Likelihood of diagnosis when an adrenal-nodule is identified; pheochromocytoma is in yellow near the top-right corner. Classically, the pheochromocytoma "rules of 10" have been taught, particularly to medical students: [177] 10% of patients have malignant disease; 10% of patients have bilateral (both left and right adrenal glands) disease
Two slices of an adrenal gland with a cortical adenoma, from a person with Conn's syndrome. The condition is due to: [14] Bilateral idiopathic (micronodular) adrenal hyperplasia: 66% of cases [1] Adrenal adenoma (Conn's disease): 33% of cases [1] Primary (unilateral) adrenal hyperplasia: 2% of cases