title: [Diagnostic benefits of adrenocortical scintigraphy in hepatic adrenal rest tumor].
abstract: An 81-year-old female was referred to our hospital for the examination of an S7 liver tumor. The tumor was suspected to be a hepatic adrenal rest tumor (HART) based on ultrasonography, dynamic CT, Gd-EOB-DTPA-enhanced MRI, and CT during abdominal angiography. After various hormonal tests, the tumor was confirmed as hormonally non-functional. The diagnosis of HART was confirmed based on (131)I-adosterol accumulation in the tumor by adrenocortical scintigraphy. The resected tumor was histologically compatible with HART, and it may have been able to produce cortisol based on the immunohistochemical findings of various adrenocortical hormone metabolic enzymes. Adrenocortical scintigraphy may thus be useful in diagnosing HART.
authors.affiliation: Department of Gastroenterology, Kanazawa University Hospital.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Ishida
authors.forename: Rika
authors.initials: R
authors.lastname: Horii
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Yamashita
authors.forename: Kuniaki
authors.initials: K
authors.lastname: Arai
authors.forename: Taro
authors.initials: T
authors.lastname: Yamashita
authors.forename: Takashi
authors.initials: T
authors.lastname: Kagaya
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Sakai
authors.forename: Eishiro
authors.initials: E
authors.lastname: Mizukoshi
authors.forename: Masao
authors.initials: M
authors.lastname: Honda
authors.forename: Shuichi
authors.initials: S
authors.lastname: Kaneko
mesh_terms: D000314:Adrenal Rest Tumor / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D064847:Multimodal Imaging; D014055:Tomography, Emission-Computed