eMedicine Specialties > Radiology > Genitourinary

Adrenal Carcinoma: Multimedia

Author: Robert L Cirillo Jr, MD, MBA, Assistant Professor of Radiology, Florida State University College of Medicine; Medical Interventional Radiologist, Director/CEO, South Georgia Vascular Institute and South Georgia Laser Vein Center
Contributor Information and Disclosures

Updated: May 28, 2009

Multimedia

A 68-year-old woman with a large right upper quad...
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Media file 1: A 68-year-old woman with a large right upper quadrant primary adrenocortical carcinoma with curvilinear calcification. Low-attenuation regions anteriorly are consistent with necrosis.
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A 68-year-old woman with a large right upper quad...

A 68-year-old woman with a large right upper quadrant primary adrenocortical carcinoma with curvilinear calcification. Low-attenuation regions anteriorly are consistent with necrosis.

A 67-year-old man with a heterogeneous mass super...
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Media file 2: A 67-year-old man with a heterogeneous mass superior to the right kidney.
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A 67-year-old man with a heterogeneous mass super...

A 67-year-old man with a heterogeneous mass superior to the right kidney.

CT demonstrates a large heterogeneous mass, with ...
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Media file 3: CT demonstrates a large heterogeneous mass, with flocculent calcifications and central necrosis (same patient as in Image 2 in Multimedia).
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CT demonstrates a large heterogeneous mass, with ...

CT demonstrates a large heterogeneous mass, with flocculent calcifications and central necrosis (same patient as in Image 2 in Multimedia).

T2-weighted MRI demonstrates a large right adreno...
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Media file 4: T2-weighted MRI demonstrates a large right adrenocortical carcinoma with high signal intensity involving the right lateral aspect.
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T2-weighted MRI demonstrates a large right adreno...

T2-weighted MRI demonstrates a large right adrenocortical carcinoma with high signal intensity involving the right lateral aspect.

More on Adrenal Carcinoma

Overview: Adrenal Carcinoma
Imaging: Adrenal Carcinoma
Follow-up: Adrenal Carcinoma
Multimedia: Adrenal Carcinoma
References
Further Reading
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References

  1. Bilimoria KY, Shen WT, Elaraj D, Bentrem DJ, Winchester DJ, Kebebew E, et al. Adrenocortical carcinoma in the United States: treatment utilization and prognostic factors. Cancer. Dec 1 2008;113(11):3130-6. [Medline].

  2. Hishiki T, Kazukawa I, Saito T, Terui K, Mitsunaga T, Nakata M, et al. Diagnosis of adrenocortical tumor in a neonate by detection of elevated blood 17-hydroxyprogesterone measured as a routine neonatal screening for congenital adrenal hyperplasia: a case report. J Pediatr Surg. Oct 2008;43(10):e19-22. [Medline].

  3. Agrons GA, Lonergan GJ, Dickey GE, Perez-Monte JE. Adrenocortical neoplasms in children: radiologic-pathologic correlation. Radiographics. Jul-Aug 1999;19(4):989-1008. [Medline].

  4. Kay R, Schumacher OP, Tank ES. Adrenocortical carcinoma in children. J Urol. Dec 1983;130(6):1130-2. [Medline].

  5. McNicol AM. A diagnostic approach to adrenal cortical lesions. Endocr Pathol. Winter 2008;19(4):241-51. [Medline].

  6. Boushey RP, Dackiw AP. Adrenal cortical carcinoma. Curr Treat Options Oncol. Aug 2001;2(4):355-64. [Medline].

  7. Dackiw AP, Lee JE, Gagel RF, Evans DB. Adrenal cortical carcinoma. World J Surg. Jul 2001;25(7):914-26. [Medline].

  8. Ng L, Libertino JM. Adrenocortical carcinoma: diagnosis, evaluation and treatment. J Urol. Jan 2003;169(1):5-11. [Medline].

  9. Vierhapper H. Adrenocortical tumors: clinical symptoms and biochemical diagnosis. Eur J Radiol. Feb 2002;41(2):88-94. [Medline].

  10. Chien HP, Chang YS, Hsu PS, Lin JD, Wu YC, Chang HL, et al. Adrenal cystic lesions: a clinicopathological analysis of 25 cases with proposed histogenesis and review of the literature. Endocr Pathol. Winter 2008;19(4):274-81. [Medline].

  11. Lockhart ME, Smith JK, Kenney PJ. Imaging of adrenal masses. Eur J Radiol. Feb 2002;41(2):95-112. [Medline].

  12. Maurea S, Mainolfi C, Bazzicalupo L, et al. Imaging of adrenal tumors using FDG PET: comparison of benign and malignant lesions. AJR Am J Roentgenol. Jul 1999;173(1):25-9. [Medline].

  13. Mayo-Smith WW, Boland GW, Noto RB, Lee MJ. State-of-the-art adrenal imaging. Radiographics. Jul-Aug 2001;21(4):995-1012. [Medline].

  14. Gross MD, Gauger PG, Djekidel M, Rubello D. The role of PET in the surgical approach to adrenal disease. Eur J Surg Oncol. Feb 23 2009;[Medline].

  15. Soga H, Takenaka A, Ooba T, Nakano Y, Miyake H, Takeda M, et al. A twelve-year experience with adrenal cortical carcinoma in a single institution: long-term survival after surgical treatment and transcatheter arterial embolization. Urol Int. 2009;82(2):222-6. [Medline].

  16. Allolio B, Hahner S, Weismann D, Fassnacht M. Management of adrenocortical carcinoma. Clin Endocrinol (Oxf). Mar 2004;60(3):273-87. [Medline].

  17. Cirillo RL Jr, Bennett WF, Vitellas KM, et al. Pathology of the adrenal gland: imaging features. AJR Am J Roentgenol. Feb 1998;170(2):429-35. [Medline].

  18. Dunnick NR. Adrenal carcinoma. Radiol Clin North Am. Jan 1994;32(1):99-108. [Medline].

  19. Dunnick NR. Hanson lecture. Adrenal imaging: current status. AJR Am J Roentgenol. May 1990;154(5):927-36. [Medline].

  20. Fishman EK, Deutch BM, Hartman DS, et al. Primary adrenocortical carcinoma: CT evaluation with clinical correlation. AJR Am J Roentgenol. Mar 1987;148(3):531-5. [Medline].

  21. Hutter AM Jr, Kayhoe DE. Adrenal cortical carcinoma. Clinical features of 138 patients. Am J Med. Oct 1966;41(4):572-80. [Medline].

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Further Reading

Clinical guidelines

 ACR Appropriateness Criteria® incidentally discovered adrenal mass.
American College of Radiology - Medical Specialty Society.  2000 (revised 2007).  8 pages.  NGC:005995

The diagnosis of Cushing's syndrome: an Endocrine Society clinical practice guideline.
The Endocrine Society - Disease Specific Society.  2008.  29 pages.  NGC:006662


Clinical trials
Antineoplaston Therapy in Treating Patients With Stage IV Adrenal Gland Cancer

Study of Adrenal Gland Tumors

Adrenal Tumors - Pathogenesis and Therapy


Related eMedicine topics

 Adrenal Carcinoma (Oncology)

Adrenal Carcinoma (Pediatrics: General Medicine)

Adrenal Surgery

Cushing Syndrome

Li-Fraumeni Syndrome



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Keywords

adrenal carcinoma, adrenal cancer, adrenal gland carcinoma, adrenal gland cancer, cancer of the adrenal gland, carcinoma of the adrenal gland

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Contributor Information and Disclosures

Author

Robert L Cirillo Jr, MD, MBA, Assistant Professor of Radiology, Florida State University College of Medicine; Medical Interventional Radiologist, Director/CEO, South Georgia Vascular Institute and South Georgia Laser Vein Center
Robert L Cirillo Jr, MD, MBA is a member of the following medical societies: American College of Physician Executives, Cardiovascular and Interventional Radiological Society of Europe, Society for Vascular Technology, and Society of Interventional Radiology
Disclosure: Nothing to disclose.

Medical Editor

Glenn Krinsky, MD, Chief of Abdominal Imaging Section, Associate Professor, Department of Radiology, New York University School of Medicine
Glenn Krinsky, MD is a member of the following medical societies: Alpha Omega Alpha and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Arnold C Friedman, MD, FACR, Associate Chairman, Department of Radiology, University of Florida Health Science Center; Chief, Department of Radiology, Shands-Jacksonville Hospital
Arnold C Friedman, MD, FACR is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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