Other Adrenal Lesions

  • Adrenal Cysts
    • Endothelial
    • Lymphangiomatous
    • Nonfunctional
    • Usually observe
  • Myelolipoma
    • Benign tumors containing hematopoietic and fatty elements
    • Characteristic picture on CT
    • Usually observed
  • Metastatic Tumors
    • Common in patients with carcinomatosis (9 percent)
    • Most common primary site is the lung
    • Nonfunctional.
    • Bright on T2-MRI
    • Irregular in appearance
    • Treatment depends on the primary tumor
  • Adrenal Hemorrhage
    • Found in neonates following traumatic delivery
    • Associated with generalized sepsis
    • Brighton T2-MRI
    • Spontaneous resolution
    • May lead to hypoadrenalism (Addison's disease)

References

  • Blumenfeld JD, Schlusse, Sealey JE, et al: Diagnosis and treatment of primary hyperaldosteronism. Ann Intern Med, 121:877-885, 1994.
  • Blumenfeld JD, Vaughan ED Jr.: The adrenals. In: Campbell's Urology. 7th Ed. Philadelphia, Saunders, 1998, pp. 2915-2971.
  • Manger WM, Gifford RW Jr.: Pheochromocytoma. A clinical review. In: Hypertension Pathophysiology, Diagnosis, and Management. Laragh JH, Brenner BM, eds. 1995, pp. 2225-2246.
  • Orth DN: Cushing syndrome. N Eng J Med 332:791-795, 1995.
  • Ulchaker JC, Goldfarb DA, Bravo EL, Novick AC: Successful outcomes in pheochromocytoma surgery in the modern era. J Urol 161:764-767, 1999. Vaughan ED Jr.: Adrenal surgery. F. F. Marshall, Ed. In: Textbook of Operative Surgery. Philadelphia, Saunders, 1996, p 220-230.
  • Vaughan ED Jr., (ed): Diagnosis and treatments of adrenal disorders. World J Urol 17:1064, 1999.