Doctor insights on:
Bilateral Adrenal Adenoma
No: An adrenal adenoma is a benign tumor of the adrenal gland. It typically causes no complications. Someimes these tumors become "active" or "functioning" producing hormones, often in excess of what the adrenal glands typically produce. This excess of hormones can cause primary aldosteronism, Cushing's syndrome and other medical conditions. They do not stop hormone production. Once functional. ...Read more
Blood ; urine tests: Adrenal masses should very rarely be biopsied. Pheochromocytoma, an adrnealine producing tumor, must always be excluded prior to biopsy. Adrenal masses are diagnosed by imaging (ct and mri) blood and urine test. Biopsy is probably only indicated in patients with known history of cancer and suspicion for metastasis to adrenal. ...Read more
Rare to have Emergen: This is often a silent growth, that is why it is found incidentally and is called an incidentaloma. If it makes hormones it may produce execess of hormones that can increase BP. So undiagnosed high BP may be its only manifest effect. But high BP is often also silent. ...Read more
Different tumor type: An adrenal adenoma is just made up of adrenal cortical cells (the normal cells of the gland). A myelolipoma is composed of mature fat and bone marrow elements (also normal). This tumor has a very specific appearance by imaging -- and is usually not a functional tumor. It does not have to be removed, unless there are symptoms. ...Read more
Both are benign:
Myelolipoma is a fatty tumor. Originates in the fat cell in the adrenal glands. They contain some hematopoietic (blood forming cells)
The adenoma is a benign tumor that originates in the gland portion of the adrenal tissue. The part that secretes hormones such as cortisol and sex hormones.
MRI can tell which is which.
Both are most commonly incidental findings. ...Read more
My ctscan gave an impression 2hch says consider left adrenal adenoma vs hyperplasia. Is this a serious matter?
Yes: It would be rare to have back pain from an adrenal adenoma, but any tumor of the adrenal that is large enough could produce back pain. Only patients with huge adrenal adenoma tumors have ever complained of back pain. Check with your doctor to investigate other causes for your back pain. ...Read more
Adrenal adenoma - could previously being on flovent hfa 110 mcg for a year or two have caused this? Or could stopping the med have caused it?
No: I. Do not think. There is any relation. ...Read more
Hx of cardiac paraganglioma with newly imaged small left adrenal adenoma. Slightly high dopamine levels. How soon should I have imaging done again?
Tough: Question. Probably every three to six months, or sooner depending on your blood tests. Confer with an endocrinology specialist. ...Read more
I have adrenal adenoma that have grown significantly over 3 ct scan in space of 18 months. Should this be removed. It's is 4.5 cm?
Likely, yes: Adrenal tumors are not uncommon, mostly they are benign. But any tumor which is growing steadily is suspect to be cancer and must be removed. A biopsy (CT guided) can be an alternative procedure if you want to make it a 2 step process. Your doctor must guide you further. Seek a second opinion if your doctor is procrastinating about what to do. ...Read more
Diagnosed with adrenal adenoma. Can this cause restless leg syndrome? Seem to be restless all over, though, like an urge to run to shake it off.
Very unlikely: Unfortunately no definite cause of RLS is known. It is suspected to be genetic. Dopamine agonist drugs like premipexole are very effective. ...Read more
I have a small adrenal adenoma found incidentally on a CT scan. Getting bloodwork for cortisone levels. Should I be concerned?
No: It's common and most likely non functioning. Just complete the workup according to your doc recommendations. ...Read more
How should an adrenal adenoma be treated? I had a submandibleand mixed tumor removed at dr's suggestion. Mother died of adrenal cancer
In my recent ct results. 1.6cm renal adenoma (in previous ct it was adrenal adenoma)thickening of right adrenal and hepatic steatosis. Prognosis?
? Typo: It sounds like there might be a typographical error in the report. An adrenal adenoma (which is benign) does not go away or turn into a renal adenoma. Moreover, a renal adenoma cannot be diagnosed by CT, it would require a biopsy to establish that. Have your doctor review the report for accuracy. ...Read more
Ct scan said right lipid laden adrenal adenoma 1cm. Mri did not see any adrenal adenoma. Is this normal? Dr. Said to go with mri. Should I 2nd opinion
Adrenal lesion: If the ct is definitive for fat density and it is clearly an adenoma, further imaging is usually not indicated. I cannot make a diagnosis without the images. It may be that the lesion was not well seen on MRI given the small size. Mri is also incredibly sensitive to movement/breathing. An adenoma is benign, and would require no further imaging anyway. So there should be no cause for concern. ...Read more
I just had a CT for reevaluation of an adrenal adenoma. Test revealed it was unchanged. But report also said "Spleen is septated." What does that mean?
An: Anatomic variation, nothing to be concerned about. ...Read more
I have a 7cm adrenal adenoma on my right adrenal gland I also have high BP all tests result ok my urine smells like vitamin what should I do?
See below: You should consult with a urologist or a general surgeon who has experience with adrenal disorders. 7 cm is large for an adenoma, and you want to make sure all other differential diagnoses are ruled out. Even if the diagnosis of adenoma is confirmed, surgery may be needed in some cases. ...Read more
Just had a ct scan done with contrast it showed left adrenal adenoma 1.7 cm. Small renal hypodensities left kidney. 1cmcomplex cyst left kidney should I be worried?
Likely no, but..: What you report are largely seen incidental findings but a few loose ends here should be addressed to make sure there is nothing more insidious ie. How complex exactly is that left renal cyst? Also, an adrenal adenoma cannot be definitely diagnosis on a contrast enhanced scan unless a very specific protocol was followed. Feel free to schedule a consult and we can review your CT and the details. ...Read more
I've a 7cm adrenal adenoma in my right adrenal gland. I also have high bp, but all tests result ok. Lately my urine smells like vitamins. What should I do?
Check w/doctor: An adenoma that large definitely needs a full evaluation and consideration for possible surgery if indicated. If you also have a history of a pituitary adenoma, you definitely need an intensive work-up by a qualified endocrinologist. I doubt that the urine smell is associated with your other potential problems. ...Read more
Inc'dntal finding 14mm adrenal adenoma on ABD CT. Have HTN, Eplerenone only effect. Prescription for BP control. Adenoma causing HTN? Curable if adenoma remve?
Adenoma: Some adrenal adenomas could indeed cause HTN. Removing those functional adenomas would help lower BP. ...Read more
47 yrs diagnosed with an adrenal adenoma, still get pain in left side, painful periods. The next step is? Seeing an gastroenterologist who found by ct.
Incidental finding: An adrenal adenoma is a common finding on cat scans of the abdomen. Most of the time they are of no concern. Other times they can produce harmful hormones or even be a sign of cancer. Your internal medicine doctor may order more blood tests or even a surgical evaluation based on the size of the adenoma. See your primary care doctor for further instructions. ...Read more
Mom has high CA 19-9 (58.7), pancreatic CT scan clear. Lifelong SLE (lupus), but also new benign adrenal adenoma. Can this explain high tumor marker?
Tumor marker: Tumor markers like ca19-9 should not be used for diagnosis. They only good for follow up after diagnosis was made by tissue biopsy. Use of tumor markers as screening may subject the patients to unnecessary testings which could lead to unnecessary complications. ...Read more
MRI shows adenomatous hyperplastic changes of bilateral adrenal glands. What type of surgery is required, if any? Having Cushing workup in 4wks.
Adrenal hyperplasia: 46 F MRI shows adenomatous hyperplastic changes of bilateral adrenal glands. What type of surgery is required, if any? Having Cushing workup in 4wks. ANS: at your age most likely have Conn's syndrome if you have any BP problems. Why was MRI done? I specialize in this and happy to do 2nd opinion. Can make better recommendations after I see a picture of your face and talk to you. ...Read more
Secreting hormones: Adrenal glands often get nodules/lumps/adenomas. They don't always secrete excess hormone. When they do, they can secrete aldosterone, norepinephrine, or cortisol. Each causes a syndrome: aldosteronoma, pheochromocytoma, cushing's. All include hypertension. If you have this, you should be seeing an endocrinologist. ...Read more