Incidentaloma diagnostic criteria: Difference between revisions
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==Overview== | ==Overview== | ||
The diagnosis of | The diagnosis of adrenal incidentaloma is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3]. | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
* The guidelines recommend urgent assessment of adrenal mass in children, adolescents, pregnant females, and adults younger than 40 years of age because of a higher likelihood of [[malignancy]].<ref name="pmid28181818">{{cite journal| author=Sahdev A| title=Recommendations for the management of adrenal incidentalomas: what is pertinent for radiologists? | journal=Br J Radiol | year= 2017 | volume= 90 | issue= 1072 | pages= 20160627 | pmid=28181818 | doi=10.1259/bjr.20160627 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28181818 }}</ref> | |||
{{familytree/start |summary=}} | {{familytree/start |summary=}} | ||
{{familytree |||| | | | | A01 |A01=Adrenal mass}} | {{familytree |||| | | | | A01 |A01=Adrenal mass}} | ||
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{{familytree | | C04 | | |C01 | | | | C02 | |C03|C01=Functional|C04=Nonfunctional|C02=<4cm|C03=>4cm}} | {{familytree | | C04 | | |C01 | | | | C02 | |C03|C01=Functional|C04=Nonfunctional|C02=<4cm|C03=>4cm}} | ||
{{familytree | | |!| | | |!| | | |,|-|^|.| | ! | }} | {{familytree | | |!| | | |!| | | |,|-|^|.| | ! | }} | ||
{{familytree | | D02 | | |D01 | | D03| |D04| |D05|D01=Surgical removal | {{familytree | | D02 | | |D01 | | D03| |D04| |D05|D01=Surgical removal|D02=D02|D03=Functional|D04=Nonfunctional|D05=Surgical removal}} | ||
{{familytree | | | | | | | | | | | |!| | |!| }} | {{familytree | | | | | | | | | | | |!| | |!| }} | ||
{{familytree | | | | | | | | | | E03| |E02|E01=E01|E02=Calculate enhancement washout within 15 minutes|E03=surgical removal}} | {{familytree | | | | | | | | | | E03| |E02|E01=E01|E02=Calculate enhancement washout within 15 minutes|E03=surgical removal}} | ||
Revision as of 15:40, 6 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
The diagnosis of adrenal incidentaloma is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
Diagnostic Criteria
- The guidelines recommend urgent assessment of adrenal mass in children, adolescents, pregnant females, and adults younger than 40 years of age because of a higher likelihood of malignancy.[1]
| Adrenal mass | |||||||||||||||||||||||||||||||||||||||||||
| CT attenuation value< 10HU | CT attenuation value> 10HU | ||||||||||||||||||||||||||||||||||||||||||
| Nonfunctional | Functional | <4cm | >4cm | ||||||||||||||||||||||||||||||||||||||||
| {{{ ! }}} | |||||||||||||||||||||||||||||||||||||||||||
| D02 | Surgical removal | Functional | Nonfunctional | Surgical removal | |||||||||||||||||||||||||||||||||||||||
| surgical removal | Calculate enhancement washout within 15 minutes | ||||||||||||||||||||||||||||||||||||||||||
| <60% | >60% | ||||||||||||||||||||||||||||||||||||||||||
| Surgical removal | No change in size in 12 months | >0.8 increase in size in 12 months | |||||||||||||||||||||||||||||||||||||||||
| Follow up CT image for two years | |||||||||||||||||||||||||||||||||||||||||||
References
- ↑ Sahdev A (2017). "Recommendations for the management of adrenal incidentalomas: what is pertinent for radiologists?". Br J Radiol. 90 (1072): 20160627. doi:10.1259/bjr.20160627. PMID 28181818.