AI Article Synopsis
- Adrenal hemangioma (AH) is a rare, benign tumor of the adrenal gland, primarily found incidentally during imaging studies, with this study seeking to shed light on its clinical traits and imaging features.
- A retrospective analysis at Peking Union Medical College Hospital identified 40 cases of AH among 7140 adrenal tumor patients, mostly affecting middle-aged women, with 70% being asymptomatic and commonly misdiagnosed as other conditions like pheochromocytoma.
- The findings highlighted specific imaging characteristics and recommended laparoscopic adrenalectomy as the main treatment, emphasizing the importance of accurate diagnosis to enhance patient outcomes.
Article Abstract
Objective: Adrenal hemangioma (AH) is a rare, benign adrenal tumor often detected incidentally by imaging. This retrospective study aimed to investigate the clinical characteristics of AH, including clinical and diagnostic imaging features, to improve the recognition and understanding of AH.
Methods: We retrospectively analyzed the medical records of patients diagnosed with AH at Peking Union Medical College Hospital between 2008 and 2022. Clinical manifestations, adrenal hormone levels, imaging findings, treatment approaches, and pathological results were collected and analyzed.
Results: Of the 7140 adrenal tumor patients, 40 (0.56%) had AH confirmed postoperatively. The mean age at diagnosis was 53.9 years, with a female predominance. Most (70%) were asymptomatic and diagnosed incidentally. Misdiagnosis before surgery was common, most frequently as pheochromocytoma. Imaging characteristics, especially enhanced computed tomography, revealed distinct features based on tumor size. Surgery was the main treatment, with laparoscopic adrenalectomy preferred.
Conclusion: This study elucidates the clinical characteristics of AH, including demographics, diagnostic challenges, and imaging features. AH often presents incidentally and is frequently misdiagnosed preoperatively. Recognizing distinct imaging characteristics and appropriate surgical management can enable accurate diagnosis and optimal treatment.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10964843 | PMC |
| http://dx.doi.org/10.1210/jendso/bvae041 | DOI Listing |
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