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What Does This CT Scan Showing Adrenal Mass Indicate?
Question: I had a CT scan show an adrenal mass while I was in Afghanistan. Upon return I have done some research on the adrenal glands, etc. Now that I think about it, I have had problems with a LOT of the symptoms present in endocrine diseases. How can I approach my primary care physician to get the specialized care I need? I am active duty military and am scared this may be overlooked.
Brief Answer:
You need proper clinical exam & investigations.
Detailed Answer:
Hello XXXXXXX
Thanks for writing to HCM
It is important to know your symptoms.
Adrenal mass be the incidental finding.Adrenal incidentaloma is an adrenal tumor found by coincidence without clinical symptoms or suspicion.You need proper clinical examination.
Adrenal mass can be benign and malignant neoplasms.It is important to look for symptoms.
It is important to determine that mass is biochemically active or not.Tests are needed to determine the level of dexamethasone suppression,24-hour urinary free cortisol,urinary 17-hydroxycortisol and 17-ketosteroid,plasma androgens,testosterone, androstenedione,renin,aldosterone,urinary vanillylmandelic acid,plasma catecholamines and plasma metanephrine and normetanephrine.
Nonfunctioning mass <3 cm should be followed up with CT scans or MRI.If the mass has not grown at the 3 month or 1 year follow up then no further testing is required.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
You need proper clinical exam & investigations.
Detailed Answer:
Hello XXXXXXX
Thanks for writing to HCM
It is important to know your symptoms.
Adrenal mass be the incidental finding.Adrenal incidentaloma is an adrenal tumor found by coincidence without clinical symptoms or suspicion.You need proper clinical examination.
Adrenal mass can be benign and malignant neoplasms.It is important to look for symptoms.
It is important to determine that mass is biochemically active or not.Tests are needed to determine the level of dexamethasone suppression,24-hour urinary free cortisol,urinary 17-hydroxycortisol and 17-ketosteroid,plasma androgens,testosterone, androstenedione,renin,aldosterone,urinary vanillylmandelic acid,plasma catecholamines and plasma metanephrine and normetanephrine.
Nonfunctioning mass <3 cm should be followed up with CT scans or MRI.If the mass has not grown at the 3 month or 1 year follow up then no further testing is required.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I made a list of symptoms that are dead on hormonal imbalance symptoms. what would you think if a 34 y/o female presented with adrenal mass, diarrhea w/severe abdominal pain, headaches/migraines, polycystic ovaries, very small breasts/facial hair, kidney stones, can't concentrate, poor memory, insomnia, excessive thirst and sweating, severe mood shifts, heartburn/indigestion , family history of female facial hair and cancer
Brief Answer:
Please find detail answer below.
Detailed Answer:
Hello XXXXXXX
Thanks for writing back
Some of the mentioned symptoms are related to hormonal imbalance.It is important to rule out that symptoms are due to adrenal mass.
Based on clinical assessment,she may need some blood and urine tests.
At present,she need follow up scan after clinical assessment and investigations.
FNAC can be done for confirming the nature of lesion.Treatment depend upon findings.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Please find detail answer below.
Detailed Answer:
Hello XXXXXXX
Thanks for writing back
Some of the mentioned symptoms are related to hormonal imbalance.It is important to rule out that symptoms are due to adrenal mass.
Based on clinical assessment,she may need some blood and urine tests.
At present,she need follow up scan after clinical assessment and investigations.
FNAC can be done for confirming the nature of lesion.Treatment depend upon findings.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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