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Updated: Sep 3, 2025

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Pure Androgen-Secreting Radiologically Suspicious Adrenal Mass: Benign or Malignant?
Chaitra Gopinath1, Suman Shekar2, Madan Acharya3
1Diabetes and Endocrinology, Kansas City University, Kansas City, USA.
Abstract:
Pure androgen-secreting adrenocortical tumors (PASATs) are rare entities. Their clinical presentations include virilizing features that vary based on age and gender. The pathogenesis of this tumor is still unclear, with around 50% of such tumors being malignant. Imaging characteristics of the tumor on CT/MRI including size, heterogenicity, and contrast wash-out time are used to predict malignancy. Surgical excision is recommended for all functional adrenal tumors. In this report, we discuss a case of a 68-year-old postmenopausal female presenting with hyperandrogenism and was found to have a 7-cm, PASAT that raised suspicion for malignancy on CT scan, but was determined to be benign on surgical pathology.
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