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    Incidentally discovered adrenal mass on CT scan

    Access Status
    Fulltext not available
    Authors
    Livhits, M.
    Reid, Christopher
    Yeh, M.
    Date
    2015
    Type
    Book Chapter
    
    Metadata
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    Citation
    Livhits, M. and Reid, C. and Yeh, M. 2015. Incidentally discovered adrenal mass on CT scan. In Surgery: A Case Based Clinical Review, 77-86.
    Source Title
    Surgery: A Case Based Clinical Review
    DOI
    10.1007/978-1-4939-1726-6_8
    ISBN
    9781493917259
    School
    Department of Health Policy and Management
    URI
    http://hdl.handle.net/20.500.11937/3362
    Collection
    • Curtin Research Publications
    Abstract

    © Springer Science+Business Media New York 2015. A 55-year-old female was involved in a motor vehicle accident several weeks ago at which time she underwent an abdominal CT scan which was negative for any injury. However, a 1.7-cm right adrenal nodule was incidentally noted. The patient complains of difficulty losing weight but denies any recent weight gain, abnormal hair growth, or muscle weakness. She has a long-standing history of diabetes and hypertension. She denies headache, palpitations, and flushing. Physical exam is significant for central obesity, but she does not have supraclavicular fat accumulation or purple striae. Workup for the adrenal mass revealed an elevated 24-h urine cortisol level (170 mcg/24 h; normal <45). This was followed by a low-dose dexamethasone suppression test, which resulted in lack of cortisol suppression (AM cortisol 14.2 mcg/dl, normal <2). Further biochemical workup including catecholamines and metanephrines as well as plasma aldosterone and renin levels was normal.

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