Abstract
A 56-year-old Japanese man was referred for examination of right adrenal tumor (3 cm). He had no apparent preexisting cancer by radiological workup and accordingly, the patient was considered as a nonfunctioning adrenocortical adenoma and scheduled for periodic CT scans every 6 months. However, five months after the initial diagnosis the patient complained of severe right back pain with remarkable enlargement of both adrenals (∼20-fold volume). Although the origin of adrenal tumor was uncertain by pathological workup, positron emission tomography (PET) scan with 18F-2-fluoro-D-deoxyglucose (FDG) eventually revealed a hot spot on left upper lung, which was consistent with a lesion of thickened bulla wall observed by chest CT. The present case is a very rare example of abrupt enlargement of bilateral adrenals due to clinically isolated adrenal metastasis, suggesting the requirement of frequent observation with greatest care regarding morphologic changes of adrenal incidentalomas.
| Original language | English |
|---|---|
| Pages (from-to) | 785-788 |
| Number of pages | 4 |
| Journal | Endocrine Journal |
| Volume | 52 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2005 |
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Keywords
- Adrenal incidentaloma
- Adrenal metastasis
- Lung cancer
- Positron emission tomography
ASJC Scopus subject areas
- Endocrinology
Cite this
Abrupt enlargement of adrenal incidentaloma : A case of isolated adrenal metastasis. / Miyoshi, Tomoko; Otsuka, Fumio; Suzuki, Jiro; Inagaki, Kenichi; Kano, Yoshihiro; Ogura, Toshio; Kiura, Katsuyuki; Saika, Takashi; Makino, Hirofumi.
In: Endocrine Journal, Vol. 52, No. 6, 2005, p. 785-788.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Abrupt enlargement of adrenal incidentaloma
T2 - A case of isolated adrenal metastasis
AU - Miyoshi, Tomoko
AU - Otsuka, Fumio
AU - Suzuki, Jiro
AU - Inagaki, Kenichi
AU - Kano, Yoshihiro
AU - Ogura, Toshio
AU - Kiura, Katsuyuki
AU - Saika, Takashi
AU - Makino, Hirofumi
PY - 2005
Y1 - 2005
N2 - A 56-year-old Japanese man was referred for examination of right adrenal tumor (3 cm). He had no apparent preexisting cancer by radiological workup and accordingly, the patient was considered as a nonfunctioning adrenocortical adenoma and scheduled for periodic CT scans every 6 months. However, five months after the initial diagnosis the patient complained of severe right back pain with remarkable enlargement of both adrenals (∼20-fold volume). Although the origin of adrenal tumor was uncertain by pathological workup, positron emission tomography (PET) scan with 18F-2-fluoro-D-deoxyglucose (FDG) eventually revealed a hot spot on left upper lung, which was consistent with a lesion of thickened bulla wall observed by chest CT. The present case is a very rare example of abrupt enlargement of bilateral adrenals due to clinically isolated adrenal metastasis, suggesting the requirement of frequent observation with greatest care regarding morphologic changes of adrenal incidentalomas.
AB - A 56-year-old Japanese man was referred for examination of right adrenal tumor (3 cm). He had no apparent preexisting cancer by radiological workup and accordingly, the patient was considered as a nonfunctioning adrenocortical adenoma and scheduled for periodic CT scans every 6 months. However, five months after the initial diagnosis the patient complained of severe right back pain with remarkable enlargement of both adrenals (∼20-fold volume). Although the origin of adrenal tumor was uncertain by pathological workup, positron emission tomography (PET) scan with 18F-2-fluoro-D-deoxyglucose (FDG) eventually revealed a hot spot on left upper lung, which was consistent with a lesion of thickened bulla wall observed by chest CT. The present case is a very rare example of abrupt enlargement of bilateral adrenals due to clinically isolated adrenal metastasis, suggesting the requirement of frequent observation with greatest care regarding morphologic changes of adrenal incidentalomas.
KW - Adrenal incidentaloma
KW - Adrenal metastasis
KW - Lung cancer
KW - Positron emission tomography
UR - http://www.scopus.com/inward/record.url?scp=30844437300&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=30844437300&partnerID=8YFLogxK
U2 - 10.1507/endocrj.52.785
DO - 10.1507/endocrj.52.785
M3 - Article
C2 - 16410674
AN - SCOPUS:30844437300
VL - 52
SP - 785
EP - 788
JO - Endocrine Journal
JF - Endocrine Journal
SN - 0918-8959
IS - 6
ER -