2,901 results match your criteria: "Adrenal Carcinoma Imaging"

Adrenocortical carcinoma (ACC) is a rare cancer with poor prognosis, treated primarily through surgery and chemotherapy. Other treatments like radiation or thermal ablation for metastases have limited success, and recurrence is common. More effective management options are needed.

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Adrenocortical carcinoma (ACC) is a rare malignancy of the adrenal cortex that is associated with a poor prognosis. Developing effective treatment options for ACC is challenging owing to the current lack of representative preclinical models. This study addressed this limitation by developing and characterizing 3-dimensional (3D) cell cultures incorporating the ACC cell lines, MUC-1, HAC15, and H295R in a type I collagen matrix.

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Primary malignant lymphomas originating in the adrenal gland, particularly of T-cell origin, are extremely rare. Here we present the primary unilateral adrenal anaplastic large cell lymphoma case. A 64-year-old Japanese male initially presented with fatigue and appetite loss.

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Introduction: Lung cancer is the second most common cancer worldwide and the leading cause of cancer deaths; non-small cell lung cancer (NSCLC) constitutes about 85% of lung cancer cases, with ALK fusions representing 3-6% of them. The SQSTM1-ALK fusion is a rare finding in NSCLC, accounting for only 1.1% of ALK rearrangements.

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Malignant thyroid neoplasm with ectopic Cushing's syndrome.

BMJ Case Rep

December 2024

Endocrinology, PGIMER, Chandigarh, India.

Article Synopsis
  • - A 30-something man was diagnosed with diabetes and hypertension after gaining 33 lbs, experiencing swelling, and showing signs of Cushing's syndrome like muscle weakness and easy bruising; he also had a growing neck mass. - Tests indicated high cortisol and ACTH levels without suppression, revealing a malignant thyroid mass and enlarged adrenal glands; fine-needle aspiration confirmed medullary thyroid carcinoma (MTC) with elevated calcitonin. - He was diagnosed with ectopic Cushing's syndrome from MTC, underwent surgeries to remove both adrenal glands and the thyroid, saw his ACTH levels normalize, but had residual tumor requiring radiation therapy.
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Renal cell carcinoma (RCC) is the most common primary kidney neoplasm, with clear cell being the predominant histopathological type. Extra-renal RCC, a rare entity, occurs in locations outside the normal kidneys. This report presents a case of metastatic primary extra-renal RCC.

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Adrenal Cortical Carcinoma Presenting as CSCR.

Retin Cases Brief Rep

November 2024

Northern California Kaiser Permanente, Roseville, CA, USA.

Purpose: We describe a case of bilateral chronic central serous chorioretinopathy (CSCR) secondary to adrenal cortical carcinoma.

Methods: Case report of a 70-year-old Hispanic man presenting with bilateral multifocal CSCR.

Results: Clinical findings of bilateral chronic CSCR along with 160 µm of subretinal fluid (SRF) and choroidal thickness greater than 400 µm without enhanced depth optical coherence tomography was noted in a patient presenting with distortion in vision in both eyes and weight gain of 15 pounds, weakness, and fatigue starting 8 months prior.

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Summary: Adrenocortical carcinoma (ACC) is a rare malignant tumour arising from the adrenal cortex, with an estimated annual incidence of one to two patients per million. Ectopic ACCs are extremely rare. The majority of ACCs are sporadic; however, ACC has been linked with genetic disease processes, including multiple endocrine neoplasia type-1 (MEN-1).

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A woman in her 70s presented with features of hyperandrogenism including clitoral enlargement and deepening of her voice. Biochemical investigations revealed raised plasma androgens and urinary androgen metabolites and imaging findings showed a highly F-18 fluorodeoxyglucose (FDG)-PET avid left adrenal tumour initially suspected to be a malignant adrenocortical carcinoma (ACC). She subsequently underwent an uncomplicated laparoscopic adrenalectomy where complete resection of her tumour was achieved.

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Minimally Invasive Image-Guided Percutaneous Irreversible Electroporation of Adrenal Metastases.

Cardiovasc Intervent Radiol

November 2024

Department of Interventional Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, USA.

Purpose: A single-center retrospective study was performed to evaluate the safety and efficacy of minimally invasive irreversible electroporation (IRE) to treat metastatic adrenal tumors.

Materials And Methods: This single-center study, approved by the Institutional Review Board, retrospectively analyzed six patients who underwent image-guided percutaneous IRE for adrenal metastases. Pre-procedural imaging included CT, MRI and/or F-FDG PET-CT scans.

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French AFU Cancer Committee Guidelines - Update 2024-2026 : Assessment of an adrenal incidentaloma and oncological management.

Fr J Urol

November 2024

Comité de Cancérologie de l'Association française d'urologie, Groupe organes génitaux externes, Maison de l'Urologie, 11, rue Viète, 75017 Paris, France; Sorbonne University, GRC 5 Predictive Onco-Uro, AP-HP, Urology, Pitié-Salpêtrière Hospital, 75013 Paris, France.

Introduction: The aim of this publication is to review the initial management procedure for adrenal incidentalomas, and where appropriate, to establish a carcinological management procedure for malignant adrenal tumours.

Materials And Methods: The multidisciplinary working group updated the CCAFU 2022 recommendations for the carcinological management of adrenal incidentalomas on the basis of a comprehensive PubMed review of the literature.

Results: Although the majority of adrenal masses are benign and nonfunctional, it is important to investigate them because of their serious endocrine potential, and because of certain cancers.

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Cyclosporine successfully treats steroid-resistant checkpoint inhibitor-related pneumonitis: a case report.

BMC Pulm Med

November 2024

State Key Laboratory of Respiratory Disease, National Clinical Research Centre for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, 151#Yanjiang Road, Guangzhou, 510120, China.

Article Synopsis
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A man in his 70s came to our department with jaundice. He was diagnosed with Merkel cell carcinoma in the left eyebrow area 3 years ago and was followed up after tumor resection. Endoscopic retrograde cholangiopancreatography was performed because the computed tomography and abdominal ultrasonography revealed bile duct dilatation.

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Oesophageal cancer.

Lancet

November 2024

Department of Thoracic Surgery, Sun Ya University Cancer Center, Guangzhou, China; Guangdong Provincial Clinical Research Center for Cancer, State Key Laboratory of Oncology in South China, Collaborative Innovation Centre for Cancer Medicine, Guangzhou, China; Guangdong Esophageal Cancer Institute, Guangzhou, China. Electronic address:

Article Synopsis
  • - Oesophageal cancer ranks as the seventh leading cause of cancer deaths globally and has two main types: squamous cell carcinoma and adenocarcinoma, with the latter showing increasing incidence rates in recent years.
  • - Advances in screening, surgical techniques, and innovative treatments have significantly improved the prognosis for oesophageal cancer, particularly for locally advanced cases treated with a combination of surgery, chemotherapy, and radiotherapy.
  • - The seminar highlights recent developments in the treatment of both subtypes, emphasizing neoadjuvant therapies for advanced cancer and the establishment of immune checkpoint inhibitors as standard care in both adjuvant and first-line metastatic treatment.
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Common incidental urological lesions on computed tomography images: What to do with renal and adrenal computed tomography incidentalomas in a primary care setting.

Aust J Gen Pract

November 2024

MBBS, PhD, FRACS (Urol), Professor, Department of Surgery, The University of Melbourne, Melbourne, Vic; Founding Director, EJ Whitten Prostate Cancer Research Centre at Epworth Healthcare, Melbourne, Vic;@Head of Unit, Department of Urology, The Royal Melbourne Hospital, Melbourne, Vic.

Article Synopsis
  • The increased use of imaging techniques has led to more frequent detection of incidental findings in the kidneys and adrenal glands, often referred to as incidentalomas, which are commonly encountered by general practitioners.* -
  • This review provides guidelines for managing these renal and adrenal masses, highlighting that renal lesions are seen in about 14% of CT scans and should be assessed using the Bosniak classification for cystic lesions.* -
  • For renal cell carcinomas larger than 4 cm or showing symptoms, active treatment is recommended, while adrenal lesions require functional testing, with specific screening tests indicated based on clinical signs such as hypertension.*
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Extrahepatic metastases in hepatocellular carcinoma (HCC) often signify a poor prognosis. This case details the five-year survival of a patient with HCC and adrenal metastasis managed with an aggressive multimodal approach, including ablation, systemic therapy, and surgical resection. Despite therapeutic advances, metastatic HCC management remains a clinical challenge, underscoring the need for individualized treatment strategies beyond traditional staging systems.

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Introduction And Importance: Adrenal metastases can rarely present as a solitary clinical manifestation among cases with underlying hepatocellular carcinoma (HCC).

Case Presentation: The authors present the case of a 53-year-old male with chronic liver disease due to chronic hepatitis C who presented with left flank pain. Imaging revealed a left-sided suprarenal mass.

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Cushing disease (CD), a rare endocrine disorder characterized by a pituitary adenoma that secretes excess adrenocorticotropic hormone (ACTH), leads to overproduction of cortisol by the adrenal glands and, depending on severity and duration, manifests with a broad spectrum of clinical signs and symptoms, ranging from classical features to more common conditions seen in the general population. Discovery of molecular and pathogenic mechanisms related to the development of CD tumors has increased in recent years, almost two-thirds of the somatic variants cases have been linked to the USP8 gene, while very rare germline variants in MEN1 and AIP genes have been associated with pituitary adenomas. Variants affecting the RET proto-oncogene, which encodes a receptor tyrosine kinase involved in cell growth and differentiation, are implicated in the development of medullary thyroid carcinoma (MTC) and its hereditary form, multiple endocrine neoplasia type 2 (MEN2).

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Article Synopsis
  • Hepatocellular carcinoma (HCC) usually gets its blood supply from the hepatic arteries, but can also receive it from unexpected sources, like the right inferior adrenal artery (IAA).
  • A 60-year-old male with HCC underwent multiple transarterial chemoembolization (TACE) treatments; after these, imaging showed residual cancer that was later found to be supplied by the IAA.
  • Successful TACE using the IAA resulted in significant tumor reduction, highlighting the need to identify rare vascular supplies in HCC cases, especially after prior treatments or in specific liver segments.
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Article Synopsis
  • The study aimed to evaluate how challenging laparoscopic adrenalectomy is by using the Mayo Adhesive Probability (MAP) score to assess issues with surrounding fat.
  • It involved a retrospective analysis of 103 patients, categorizing them based on preoperative CT scans into high and low MAP groups, comparing clinical features and analyzing tissue samples.
  • Results showed that high MAP patients were generally younger, had a higher proportion of males, and experienced significantly more blood loss during surgery, indicating a need for careful management in these cases.
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Article Synopsis
  • * Diagnosing gastric metastasis from SCLC is challenging due to its asymptomatic nature, limitations of imaging techniques, and the need to differentiate it from primary gastric cancer, requiring precise histopathological evaluation.
  • * The management of gastric metastasis in SCLC typically involves a comprehensive approach, mainly using systemic chemotherapy and palliative care, as surgical options are limited and the overall prognosis for affected patients is significantly worse than those without such metastasis.
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Renal cell carcinoma (RCC) is a common renal malignancy that frequently metastasizes, though cutaneous metastasis, particularly to the scalp, is rare and generally indicates a poor prognosis. We report a case of scalp metastasis from RCC in a 69-year-old man who presented with unexplained weight loss and painless hematuria. Imaging revealed a 12-cm renal mass with adrenal, pulmonary, and scalp metastases.

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Presentation and management of patients with adrenal masses: a large tertiary centre experience.

Eur J Endocrinol

October 2024

Department of Metabolism and Systems Science, College of Medicine and Health, University of Birmingham, Birmingham B152TT, United Kingdom.

Article Synopsis
  • - The study analyzed adrenal masses in 1,397 patients at a tertiary care center from 1998 to 2022, revealing that most cases were found incidentally, with a median mass size of 2.9 cm and common diagnoses including adrenocortical adenoma, phaeochromocytoma, and adrenocortical carcinoma.
  • - Following the 2016 European guidelines on adrenal incidentalomas, there was a notable decrease in the number of adrenalectomies (6.1% to 4.5%) and a significant increase in the discharge rate for patients with benign adrenal masses (4.4% to 25.3%).
  • - The findings suggest that implementing these guidelines has
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