[A hypervascular adrenal adenoma. A differential diagnostic problem in dynamic CT and MRT].
At dynamic CT, Gd-DTPA-enhanced MRI, and digital subtraction angiography, a large adrenal adenoma verified by resection histology presented as a hypervascular tumor. In all imaging modalities, it showed a strong patchy enhancement during the early phases of the passage of contrast media and subsequent intralesional contrast equilibration. This case demonstrates that even high enhancement does not rule out an adrenal adenoma with certainty. In the oncologic patient, therapeutic decisions should not be made on the basis of the contrast behavior of an adrenal lesion alone.
Klose
K C
KC
Klinik für Radiologische Diagnostik, RWTH Aachen.
Andreopoulos
D
D
Adam
G
G
Biesterfeld
S
S
D000236:Adenoma / Q000098:blood supply / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000310:Adrenal Gland Neoplasms / Q000098:blood supply / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003287:Contrast Media; D003937:Diagnosis, Differential; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA
Hypervaskularisiertes Nebennierenadenom. Ein differentialdiagnostisches Problem in der dynamischen CT und MRT.