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Doctor insights on: Bilateral Adrenal Adenoma

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Dr. Murthy Andavolu
1,360 Doctors shared insights

Adenoma (Definition)

Adenoma = a ...Read more


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Can a adrenal adenoma stop functioning?

Can a adrenal adenoma stop functioning?

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

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How do you diagnose an adrenal adenoma?

How do you diagnose an adrenal adenoma?

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

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Which symptoms of an adrenal adenoma would be considered an emergency?

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

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What are the treatments for adrenal adenoma?

Removal: If it is determined that the adrenal adenoma is a functioning one then treatment is removal of the affected adrenal gland. This is usually done laparoscopically. ...Read more

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What is the difference between an adrenal adenoma and an adrenal myelolipoma?

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

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What are the differences between an adrenal adenoma, and an adrenal myelolipoma?

What are the differences between an adrenal adenoma, and an adrenal myelolipoma?

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

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My ctscan gave an impression 2hch says consider left adrenal adenoma vs hyperplasia. Is this a serious matter?

Possibly: If the adrenal tissue is functioning and producing excess hormone you may develop cushing's disease. This reading, however, is a radiologic issue, and may not be reflected in functional issues. You should discuss this with the doctor who ordered the study. Good luck. ...Read more

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Can an adrenal adenoma create back pain?

Can an adrenal adenoma create back pain?

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

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I have a 6, 5 cm adrenal adenoma. Also high Bp, but all tests are ok. Can I have a safe pregnancy?

Adrenal adenoma: This size of adenoma, if not hormonally active, and non-malignant, should be followed by an endocrinologist closely. Pregnancy should not influence this type of tumor, but your physician may suggest that the tumor should be removed prior to pregnancy. ...Read more

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Can hypertension and skin rash be caused by a adrenal adenoma?

Can hypertension and skin rash be caused by a adrenal adenoma?

If Adenoma is active: There is a relatively rare adrenal tumor called a pheochromcytoma that can cause high blood pressure. If the adenoma is active and secretes cortisol type hormone, you can get a variety of skin changes. ...Read more

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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?

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

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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.

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

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I have a small adrenal adenoma found incidentally on a CT scan. Getting bloodwork for cortisone levels. Should I be concerned?

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

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How should an adrenal adenoma be treated? I had a submandibleand mixed tumor removed at dr's suggestion. Mother died of adrenal cancer

Adrenal adenoma: Possible endocrine work-up, ct/mri of adrenals, possible fine needle biopsy of other tests abnormal; possible surgery if cancerous. Endocrinologist, surgeon, oncologist. ...Read more

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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

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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

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

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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

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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

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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?

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

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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

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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?

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

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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

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Could you please describe hyperfunctioning adenoma of the adrenal gland?

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