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Calcified adrenal masses.

P J Kenney, R J Stanley

    Urologic Radiology
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Calcification in adrenal masses is nonspecific, appearing in various types like neuroblastoma in children and adrenal cysts in adults. Correlating calcification patterns with other imaging features, especially via CT, is crucial for diagnosis.

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    Area of Science:

    • Radiology
    • Oncology
    • Endocrinology

    Background:

    • Adrenal masses are common findings with diverse etiologies.
    • Calcification within adrenal masses can be present but its diagnostic significance is often unclear.

    Purpose of the Study:

    • To investigate the types and prevalence of calcified adrenal masses.
    • To determine the diagnostic utility of calcification patterns in adrenal masses.

    Main Methods:

    • Retrospective review of 106 adrenal mass cases across all age groups.
    • Analysis of calcification presence and pattern on radiographs, sonography, and computed tomography (CT).
    • Correlation of imaging findings with final diagnoses.

    Main Results:

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  • Thirty-three cases (31%) exhibited calcification.
  • Neuroblastoma was the most frequent calcified mass in children (10 cases).
  • Adrenal cysts were the most common calcified mass in adults (6 cases).
  • Other calcified masses included adenomas, carcinomas, hemorrhage, metastases, pheochromocytomas, and histoplasmoma.
  • Adrenal cysts showed characteristic peripheral curvilinear calcification.
  • Calcification alone was nonspecific for adrenal mass diagnosis.

    • Conclusions:

    • Calcification within adrenal masses is a nonspecific finding.
    • Characteristic peripheral curvilinear calcification suggests adrenal cysts.
    • Comprehensive evaluation of imaging features, particularly with CT, is essential for accurate differential diagnosis of adrenal masses.