Open AccessAdrenal incidentaloma. Part 2. Modern concepts of computed tomography semiotics of adrenal gland incidentalomas: algorithm of differential diagnosis
Author(s) -
Svetlana Buryakina,
Н. В. Тарбаева,
Н Н Волеводз,
G. G. Kаrmаzаnovsky,
L.D. Kovalevich,
Marina Shestakova,
Ivan I. Dedov
Publication year - 2021
Publication title -
terapevtičeskij arhiv
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.181
H-Index - 14
eISSN - 2309-5342
pISSN - 0040-3660
DOI - 10.26442/00403660.2021.11.201169
Subject(s) - medicine , differential diagnosis , incidentaloma , adenoma , adrenal gland , radiology , adrenocortical adenoma , pheochromocytoma , adrenal adenoma , computed tomography , lesion , pathology
While accidentally detecting an adrenal gland lesion (incidentaloma) during a routine computed tomography (CT) scan, the radiologist should correctly interpret revealed changes. The most common lesion is adenoma with high lipid content, but a lipid poor adenoma, pheochromocytoma, adrenocortical cancer, metastasis and other less common adrenal diseases are also worth of attention and require detailed knowledge of their CT semiotics. The article presents criteria of differential diagnosis of the adrenal incidentalomas on the basis of which an algorithm of differential diagnosis was proposed for the most common adrenal lesions.