Adrenal Adenoma

Question: Ct scan w/contrast showed adrenal adenoma. Now MRI says no mass exists. How reliable is ct scan? Had a ct scan of abdomen which showed a 1.4 x 2.6 cm adenoma on adrenal gland. Now MRI states no mass on adrenal gland. Concern because MRI office was not clean or professional. Could original ct scan see something that isn't really there? Can I request original radiologist of ct scan to review MRI results?

Answer: You can request it, I'm not sure if they will allow it. Ask your physician if you might benefit from a PET scan for further diagnosis. Maybe the adrenal gland mass was a cyst and it broke between the time that you had your CT and your MRI. I would definitely ask for a second opinion on both xrays. To get back to your original question, I think it is a very good idea to have both tests reviewed by the same radiologist.

Question: What is Hyperfunctioning Adenoma of the adrenal gland? My husband thought he had a kidney stone with the typical symptoms of back pain, flank pain and pain extending to his groin. Went to the Dr. Xray revealed a 16mmx8mm area right kidney, he was then sent for a CT of the pelvis and abdomen that showed this was not a kidney stone rather it was a mass on the right adrenal gland measureing 3.6cm. He was then sent for a MRI that showed a 4 cm mass and mention not being able to rule out hyperfunctioning adenoma or Pheochromacytoma. Any advice.

Answer: Hyperfuctioning Adenoma: is a tumor that is excessively secreting a hormone, and in this case it sounds like Catecholamines as in Pheochromocytoma. Did your husband have spurts of rage, anger, or hypertension and aggitation? If benign, surgery is a definite possibility. Good luck.

Question: what is the difference between an adrenal adenoma, and an adrenal myelolipoma?

Answer: Adrenal myelolipomas are rare and benign they are made up mainly form adipose tissue. The primary complication, which is uncommon, is spontaneous rupture of the mass, causing retroperitoneal hemorrhage. Rupture and hemorrhage also can occur following blunt trauma. Adrenal adenomas are also benign, but they are common and wont hurt you or rupture.

Question: what is adrenal adenoma?

Answer: Adrenal cortical adenoma is a common benign tumor arising from the cortex of the adrenal gland. It commonly occurs in adults, but it can be found in persons of any age. Adrenal cortical adenomas are benign neoplasms; they are not considered to be potentially malignant. Read more about them at the following site....

Question: how important is a notation of a possible adenoma? I had an abdominal ct scan.One notation was a small adenoma on an adrenal gland, but my Dr has not said any thing to me about it. I do have a personal and family history of Cancer In same ct report was :mild hepatomegaly(right lobe measures 21.5 cm in length/20 cm AP) low density focus in cranial aspect(sm.cysy?) Left adrenal is nodular(lateral limbinferiorty, Left kidney-low density focus. probably a cyst. Also an umbilical hernia(repaired 9/5) numeruos diviticli in descending colon. Should I be worried?

Answer: Important enough to revisit explicitly with your physician, including a review of your oncology history. It might be a matter of no concern, but given your history, the anxiety your question displays is reasonable. Follow up with the physician; don't wait for the doctor to identify issues; feel empowered to ask yourself.

Question: Medical question: Only answer if you have medical experience please? I had a ct of the abdomen & pelvis, and here it what it mainly showed: fatty liver liver lesion adrenal adenoma 1.4 x 2.0 cm swollen lymph node in peri-rectal area Which would you consider the most serious, and what do you think the next plan of care would be? Thank you for your assistance Robin

Answer: Sounds like Cushings syndrome. Do you take meds for asthma?..or arthritis? hormones? I would look into the meds you currently take first and take that to your MD, to see if there is other options.As meds can affect what is there. I would not take any of these more serious than the other either. Was there a biopsy done on the lesion? That can mean a couple different things. But with the swollen lymph node present as well these are all issues that can not be answered by the CT alone. For the guy above...CT= computed tomography. (basically an x-ray) I wish you luck finding this. Was a lab tech assistant for 3 yrs...in pathology dept (i am not an md or nurse but familiar with these tests and the biopsy procedures as well as diagnosis)

Question: How many people are aware that April 8th is National Cushings Awareness Day??? Cushing's syndrome (aka hypercortisolism or hyperadrenocorticism) is an endocrine disorder caused by high levels of the hormone cortisol. It is pretty rare and generally affects adults aged 20 to 50. Approximately 10 to 15 of every million people are affected every year. It was discovered by Harvey Cushing in 1932. SOME of the symptoms may be: rapid weight gain, moon face, excess sweating, easy bruising, purple or red striae, hirsutism, "buffalo hump", reduced libido, impotence, amenorrhoea, infertility, psychological disturbances, persistent hypertension, diabetes mellitus Cushings may be caused by pituitary and/or adrenal adenomas or disease, ectopics ACTH-secreting tumors, treatment with corticosteroids

Answer: Didn't know that...do they have one for Addison's (hypocortisolism)?

Question: Where would you take your mother for the best care? My mother has been having a lot of pelvic pain and recently lesions compatible with adenoma on her adrenal glands. The docs are giving her the runaround and now her symptoms are getting worse, just short of fever and chills...So I'm taking her to the emergency room. Where can she get the best care in MA/RI? Women and Infants? Brigham and Women's? Where would you take your mother?

Answer: Brigham & Women's; Leahy's; Mass. Gen. Hosp....look at their website & look up doctors' training & sub-specialties. Then make appt. It's sometimes easier if you get a MD's referral. For now take her to ER. Ask ER MD for help. My best to you both.

Question: Please only answer this if you have medical training/experience? I had a ct of my abdomen/pelvis last Monday. It shows 2 main things. 1. adrenal adenoma 2. Liver lesion I've done some research on the internet on both, but I really like to hear comments from a medical person who knows whether I should worry. The research I've done is the more like the adrenal adenoma is benign..........but what about the liver lesion??? I'm really worried. Can someone give me their opinions on these please. Thanks, Robin

Answer: a liver lesion has to be identified. in other words, what is it...a cancer, a wound, scar tissue, a stone, etc. once they accomplish that u will have a better idea. in the meanwhile, take i easy on your liver, by avoiding unnecessary medicine, such as Tylenol, Motrin really anything at this point unless prescribed by your doctor. your liver is needing to rejuvenate/heal. my mom had the same thing, it was just tissue. she was freaked out too. get plenty of rest, nutrition. added stress (worrying) is terrible for u at this time. if u believe in Jesus, hand it over to him... and i will be saying a special pray for u and your family.. and i mean this when i say GOD bless you my friend.

Question: Can anyone tell me what the results of my abdomen Ct scan means? The radiologists impression was as follows: 1. Punctate nonobstructing calculus seen in the lower pole of the left kidney; no hydronephrosis seen on either side. 2. Top normal liver and spleen which could be constitutional although this finding is nonspecific. 3. Small nodularity, left adrenal gland, is most likely a benign adenoma.

Answer: Your scan results mean the following: 1. You have a kidney stone on the left, but it is still in your kidney and not currently causing you any problems. Stones don't cause pain unless they are in your ureter (the tube that connects your kidney and bladder). You dont have hydronephrosis, which is when the urine collection system of the kidney becomes distended like a balloon causing pain. 2. Your liver and spleen size is at the higher end of the normal range. This shouldn't be anything for you to worry about. 3. There is a tiny nodule on your left adrenal gland (the gland that sits on top of your kidney and makes several normal hormones). They reported it is likely an adenoma, which is a benign (not cancer) growth, which is very common. Unless you were having symptoms of abnormally high blood pressure or other problems with various laboratory values, there is nothing that needs to be done for a small simple adenoma.