Abstract
CT and angiography were performed in 15 patients with adrenocortical carcinoma. The tumors had a mean diameter of 11 cm (range 4–20 cm). At CT, the 8 largest tumors were ill-defined, and in these, the organ of tumor origin could not be established. Angiographically the correct organ of tumor origin was established in all but one patient. It is concluded that CT is excellent in showing the extent of an adrenal tumor, but is often unable to predict the organ of origin in large tumors. Angiography is still of great value in the preoperative work-up in patients with large adrenocortical carcinomas for correct identification of tumor origin and for vascular mapping.
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References
1.
Belldegrun
A.
Hussain
S.
Seltzer
S. E.
Loughlin
K. R.
Gittes
R. F.
Richie
J. P.
: Incidentally discovered mass of the adrenal gland . Surg. Gynecol. Obstet.
163 (1986 ), 203 .
2.
Dunnick
N. R.
: Adrenal imaging . Current status. AJR
154 (1990 ), 927 .
3.
Dunnick
N. R.
Heaston
D.
Halvorsen
R.
Moore
A. V.
Korobkin
M.
: CT appearance of adrenal cortical carcinoma . J. Comput. Assist. Tomogr.
6 (1982 ), 978 .
4.
Eghrari
M.
McLoughlin
M. J.
Rosen
J. E.
: The role of computed tomography in assessment of tumoral pathology of the adrenal glands . J. Comput. Assist. Tomogr.
4 (1980 ), 71 .
5.
El-Sherief
M. A.
Hemmingsson
A.
Lörelius
L. E.
: Computed tomography and angiography in the evaluation of adrenal diseases . Acta Radiol. Diagnosis
23 (1982 ), 625 .
6.
Fishman
E. K.
Deutch
B. M.
Hartman
D. S.
Goldman
S. M.
Zerhouni
E. A.
Siegelman
S. S.
: Primary adrenocortical carcinoma . CT evaluation with clinical correlation. AJR
148 (1987 ), 531 .
7.
Fritzsche
P.
Andersen
C.
Cahill
P.
: Vascular specificity in differentiating adrenal carcinoma from renal cell carcinoma . Radiology
125 (1977 ), 113 .
8.
Glazer
G. M.
Francis
J. R.
Quint
L. E.
: Imaging of the adrenal glands . Invest. Radiol.
23 (1988 ), 3 .
9.
Guerrero
L. A.
: Diagnostic and therapeutic approach to incidental adrenal mass . Urology
26 (1985 ), 435 .
10.
Hamper
U. M.
Fishman
E. K.
Hartman
D. S.
Roberts
J. L.
Sanders
R. C.
: Primary adrenocortical carcinoma. Sonographic evaluation with clinical and pathologic correlation in 26 patients . AJR
148 (1987 ), 915 .
11.
Henley
D. J.
van Heerden
J. A.
Grant
C. S.
Carney
J. A.
Carpenter
P. C.
: Adrenal cortical carcinoma . A continuing challenge. Surgery
94 (1983 ), 926 .
12.
Hoevels
J.
Ekelund
L.
: Angiographic findings in adrenal masses . Acta Radiol. Diagnosis
20 (1979 ), 337 .
13.
Hussain
S.
Belldegrun
A.
Seltzer
S. E.
Richie
J. P.
Gittes
R. F.
Abrams
H. L.
: Differentiation of malignant from benign adrenal masses. Predictive indices on computed tomography . AJR
144 (1985 ), 61 .
14.
Nader
S.
Hickey
R. C.
Sellin
R. V.
Samaan
N. A.
: Adrenal cortical carcinoma . A study of 77 cases. Cancer
52 (1983 ), 707 .
15.
Päivänsalo
M.
Lähde
S.
Merikanto
J.
Kallionen
M.
: Computed tomography in primary and secondary adrenal tumours . Acta Radiol.
29 (1988 ), 519 .
16.
Slee
P. H. T. J.
Schaberg
A.
van Brummelen
P.
: Carcinoma of the adrenal cortex causing primary hyperaldosteronism . Cancer
51 (1983 ), 2341 .
17.
Tisnado
J.
Cho
S. R.
Walsh
J. W.
Beachley
M. C.
Goldschmidt
R. A.
: Computed tomography versus angiography in the diagnosis of large right adrenal carcinoma . J. Comput. Tomogr.
8 (1984 ), 287 .