Clinical Research
Prevalence of Adrenal Incidentaloma by Chest Computed Tomography in Patients with a Preliminary Diagnosis of COVID-19 Pneumonia
Abstract
Aim: Adrenal incidentalomas are typically discovered as an incidental finding during routine computed tomography (CT) or magnetic resonance imaging (MRI) scans conducted for unrelated purposes. Our objective was to examine the frequency of adrenal incidentaloma, in individuals who underwent thoracic CT scan as a result of Covid-19 infection.
Material and Methods: In the retrospective descriptive study, 808 patients who applied to the emergency radiology department with the suspicion of covid 19 and underwent thoracic CT between March 2020 and July 2020 were included. The presence of incidentaloma in the CT images of the patients was evaluated.
Results: Adrenal incidentaloma was detected in 78 (9.7%) of the 808 patients, and of those 78 adrenal incidentalomas, 70 (8.7%) were unilateral and 8 (1%) were bilateral. The mean diameter of the adrenal incidentaloma was 20 mm, and it was 18.5 mm in females and 21.5 mm in males. A total of 808 patients, 351 (43.4%) females and 457 (56.6%) males, were included in the study.
Conclusion: Adrenal incidentaloma have become more common radiological findings with the recent COVID-19 pandemic due to the increased frequency of CT scans, and it is important to appropriately manage these patients.
References
- Fassnacht M, Arlt W, Bancos I, et al. Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the study of adrenal tumors. Eur J Endocrinol. 2016;175:G1-34.
- Davenport C, Liew A, Doherty B, et al. The prevalence of adrenal incidentaloma in routine clinical practice. Endocrine. 2011;40:80-3.
- Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. 2020;395:497-506. Erratum in: Lancet. 2020 Jan 30; PMID: 31986264.
- Liu Z, Xiao X, Wei X, et al. Composition and divergence of coronavirus spike proteins and host ACE2 receptors predict potential intermediate hosts of SARS-CoV-2. J Med Virol. 2020;92:595-601.
- Breban R, Riou J, Fontanet A. Interhuman transmissibility of Middle East respiratory syndrome coronavirus: estimation of pandemic risk. Lancet. 2013;382:694-9.
- Hosseini A, Hashemi V, Shomali N, et al. Innate and adaptive immune responses against coronavirus. Biomed Pharmacother. 2020;132:110859.
- Shah V, Keniya R, Shridharani A, et al. Diagnosis of COVID-19 using CT scan images and deep learning techniques. Emerg Radiol. 2021;28:497-505.
- Dunnick NR, Korobkin M. Imaging of adrenal incidentalomas: current status. AJR Am J Roentgenol. 2002;179:559-68.
- Barzon L, Sonino N, Fallo F, et al. Prevalence and natural history of adrenal incidentalomas. Eur J Endocrinol. 2003;149:273-85.
- Boland GW, Blake MA, Hahn PF, Mayo-Smith WW. Incidental adrenal lesions: principles, techniques, and algorithms for imaging characterization. Radiology. 2008;249:756-75.
- Li LL, Gu WJ, Dou JT, et al. Incidental adrenal enlargement: an overview from a retrospective study in a chinese population. Int J Endocrinol. 2015;2015:192874.
- Song JH, Chaudhry FS, Mayo-Smith WW. The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol. 2008;190:1163-8.
- Young WF Jr. Management approaches to adrenal incidentalomas. A view from Rochester, Minnesota. Endocrinol Metab Clin North Am. 2000;29:159-85.
- Bovio S, Cataldi A, Reimondo G, et al. Prevalence of adrenal incidentaloma in a contemporary computerized tomography series. J Endocrinol Invest. 2006;29:298-302.
- Ferreira EV, Czepielewski MA, Faccin CS, et al. Prevalence of adrenal incidentaloma at computed tomography (chest and abdominal) in a general hospital in Brazil. Arq Bras Endocrinol Metabol. 2005;49:769-75.
- Mantero F, Terzolo M, Arnaldi G, et al. A survey on adrenal incidentaloma in Italy. Study group on adrenal tumors of the Italian Society of Endocrinology. J Clin Endocrinol Metab. 2000;85:637-44.
- Boland GW, Lee MJ, Gazelle GS, et al. Characterization of adrenal masses using unenhanced CT: an analysis of the CT literature. AJR Am J Roentgenol. 1998;171:201-4.
- Mayo-Smith WW, Song JH, Boland GL, et al. Management of incidental adrenal masses: a white paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2017;14:1038-44.
- Young WF Jr. Clinical practice. The incidentally discovered adrenal mass. N Engl J Med. 2007;356:601-10.
- Kulalı F, Semiz Oysu A, Basat S, et al. Prevalence of adrenal incidentaloma in geriatric patients on computed tomography. Med J SDU. 2018;25:407-11.
Year 2023,
Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 48 - 52, 19.10.2023
Abstract
References
- Fassnacht M, Arlt W, Bancos I, et al. Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the study of adrenal tumors. Eur J Endocrinol. 2016;175:G1-34.
- Davenport C, Liew A, Doherty B, et al. The prevalence of adrenal incidentaloma in routine clinical practice. Endocrine. 2011;40:80-3.
- Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. 2020;395:497-506. Erratum in: Lancet. 2020 Jan 30; PMID: 31986264.
- Liu Z, Xiao X, Wei X, et al. Composition and divergence of coronavirus spike proteins and host ACE2 receptors predict potential intermediate hosts of SARS-CoV-2. J Med Virol. 2020;92:595-601.
- Breban R, Riou J, Fontanet A. Interhuman transmissibility of Middle East respiratory syndrome coronavirus: estimation of pandemic risk. Lancet. 2013;382:694-9.
- Hosseini A, Hashemi V, Shomali N, et al. Innate and adaptive immune responses against coronavirus. Biomed Pharmacother. 2020;132:110859.
- Shah V, Keniya R, Shridharani A, et al. Diagnosis of COVID-19 using CT scan images and deep learning techniques. Emerg Radiol. 2021;28:497-505.
- Dunnick NR, Korobkin M. Imaging of adrenal incidentalomas: current status. AJR Am J Roentgenol. 2002;179:559-68.
- Barzon L, Sonino N, Fallo F, et al. Prevalence and natural history of adrenal incidentalomas. Eur J Endocrinol. 2003;149:273-85.
- Boland GW, Blake MA, Hahn PF, Mayo-Smith WW. Incidental adrenal lesions: principles, techniques, and algorithms for imaging characterization. Radiology. 2008;249:756-75.
- Li LL, Gu WJ, Dou JT, et al. Incidental adrenal enlargement: an overview from a retrospective study in a chinese population. Int J Endocrinol. 2015;2015:192874.
- Song JH, Chaudhry FS, Mayo-Smith WW. The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol. 2008;190:1163-8.
- Young WF Jr. Management approaches to adrenal incidentalomas. A view from Rochester, Minnesota. Endocrinol Metab Clin North Am. 2000;29:159-85.
- Bovio S, Cataldi A, Reimondo G, et al. Prevalence of adrenal incidentaloma in a contemporary computerized tomography series. J Endocrinol Invest. 2006;29:298-302.
- Ferreira EV, Czepielewski MA, Faccin CS, et al. Prevalence of adrenal incidentaloma at computed tomography (chest and abdominal) in a general hospital in Brazil. Arq Bras Endocrinol Metabol. 2005;49:769-75.
- Mantero F, Terzolo M, Arnaldi G, et al. A survey on adrenal incidentaloma in Italy. Study group on adrenal tumors of the Italian Society of Endocrinology. J Clin Endocrinol Metab. 2000;85:637-44.
- Boland GW, Lee MJ, Gazelle GS, et al. Characterization of adrenal masses using unenhanced CT: an analysis of the CT literature. AJR Am J Roentgenol. 1998;171:201-4.
- Mayo-Smith WW, Song JH, Boland GL, et al. Management of incidental adrenal masses: a white paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2017;14:1038-44.
- Young WF Jr. Clinical practice. The incidentally discovered adrenal mass. N Engl J Med. 2007;356:601-10.
- Kulalı F, Semiz Oysu A, Basat S, et al. Prevalence of adrenal incidentaloma in geriatric patients on computed tomography. Med J SDU. 2018;25:407-11.
There are 20 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Radiology and Organ Imaging |
| Journal Section | Original Articles |
| Authors | |
| Publication Date | October 19, 2023 |
| Acceptance Date | August 23, 2023 |
| Published in Issue | Year 2023 Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic |
Chief Editors
Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye
Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye
E-mail: medrecsjournal@gmail.com
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