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Radiologic-Pathologic correlation


Angiographic-CT-FDG-Pathologic Correlations of the Incidentally Discovered Adrenal Mass

Bi-Fang LeeNan-Tsing ChiuHong-Ming TsaiHung-Wen TsaiChung-Jye Hung
Departments of Nuclear Medicine, Radiology, Pathology, Surgery, National Cheng Kung University, College of Medicine and Hospital, Tainan, Taiwan
Date of Submission: 19-Jun-2011, Date of Acceptance: 29-Jul-2011, Date of Web Publication: 17-Aug-2011.
Corresponding Author:
Corresponding Author

Chung-Jye Hung

Department of Surgery, Medical College, National Cheng Kung University Hospital, 138 Sheng-Li Road, Tainan City 70428, Taiwan.
E-mail: cjhung@mail.ncku.edu.tw

Corresponding Author:
Corresponding Author

Chung-Jye Hung

Department of Surgery, Medical College, National Cheng Kung University Hospital, 138 Sheng-Li Road, Tainan City 70428, Taiwan.
E-mail: cjhung@mail.ncku.edu.tw

DOI: 10.4103/2156-7514.83928 Facebook Twitter Google Linkedin

ABSTRACT


During abdominal ultrasonography of a 37-year-old man a 3.2 cm hypoechoic mass in the right hepatic lobe was found incidentally. This prompted an abdominal CT, an FDG PET/CT, and an angiography to evaluate the nature of the mass. Laboratory data showed positive anti-HBs/anti-HBe, and negative HCV antibody. The alfa-fetoprotein and liver function tests were within normal limits. Contrast-enhanced CT found an enhanced hepatic tumor and primary hepatocellular carcinoma was suspected. PET/CT revealed no abnormal FDG accumulation in the right hepatic mass. The digital subtraction angiographies of the right inferior phrenic artery and right renal artery revealed a hypervascular tumor in the right adrenal gland. Therefore, a diagnosis of a right adrenal tumor was made. Serum aldosterone, serum cortisol, and urine vanillylmandelic acid, and catecholamine were all within normal limits. Laparoscopic right adrenalectomy was performed and adrenal cortical adenoma was diagnosed on a histological study.
Keywords: Adrenal Cortical Adenoma, FDG PET/CT, Angiography, Primary Hepatocellular Carcinoma

Cited in 1 Document

  1. Asha Kandathil, Ka Kit Wong, Daniel J. Wale, Maria Chiara Zatelli, Anna Margherita Maffione, Milton D. Gross and Domenico Rubello Metabolic and anatomic characteristics of benign and malignant adrenal masses on positron emission tomography/computed tomography: a review of literature Endocrine 49(1) 2015 6. Doi: 10.1007/s12020-014-0440-6

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