Adrenocortical carcinoma masquerading as a benign adenoma on computed tomography washout study

Jay Simhan, Daniel Canter, Ervin Teper, Marc C. Smaldone, Ninad Patil, Arthur Patchefsky, Marlane C. Guttmann, Barton Milestone, Yu Ning Wong, Lisa A. Hicks, Robert G. Uzzo, Alexander Kutikov

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Abstract

An incidental adrenal mass is a common finding on cross-sectional imaging, with most of these lesions being benign adenomas. Indications for adrenalectomy turn on the likelihood that a mass is malignant or whether it exhibits metabolic activity. Modern imaging is considered highly accurate in differentiating adrenal adenomas from other adrenal pathology. We present a case of a 5-cm adrenal lesion with computed tomography washout characteristics consistent with a benign adenoma, which proved upon resection to be an adrenocortical carcinoma.

Original languageEnglish
Pages (from-to)e19-e20
JournalUrology
Volume79
Issue number2
DOIs
StatePublished - Feb 2012

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