Nephtali R. Gomez, M.D. To The Incidental Adrenal Mass
|
|
- Katherine Haynes
- 5 years ago
- Views:
Transcription
1 Nephtali R. Gomez, M.D. To The Incidental Adrenal Mass
2 The Complete Idiot s Guide to The Incidental Adrenal Mass Defini:on Any adrenal mass 1cm or more in diameter discovered on a radiologic exam performed for indica:ons other than adrenal disease
3 The Complete Idiot s Guide to The Incidental Adrenal Mass Excludes - Pa5ents undergoing imaging as part of staging for extra- adrenal cancer - Pa5ents in whom the diagnosis of a symptoma5c adrenal- dependent syndrome was missed because of insufficient suspicion
4 The Complete Idiot s Guide to The Incidental Adrenal Mass
5 The Complete Idiot s Guide to The Incidental Adrenal Mass Adrenal Incidentaloma on the Rise!
6 The Complete Idiot s Guide to The Incidental Adrenal Mass 5% of all abdominal and chest CT scans will ID an adrenal lesion
7 The Complete Idiot s Guide to The Incidental Adrenal Mass Million Million - 3 Million CT scans in millions (annually) Arch Intern Med. 2009;169(22): / U.S. News and World Report / Na5onal Council on Radia5on Protec5on and Measurements (NCRP)
8 The Complete Idiot s Guide to The Incidental Adrenal Mass 72 Million CT scans performed in the U.S. annually 32% are CT of Abd/Pelvis 1.2 Million! 23 Million CT of Abd/pelvis Adrenal Incidentalomas 5%
9 The Complete Idiot s Guide to The Incidental Adrenal Mass SC cushings 5% Pheo 5% ACC 5% Mets 2% Aldo 1% Non Funct Adenoma 82%
10 The Complete Idiot s Guide to The Incidental Adrenal Mass What is the least expensive and fastest way to find out which camp your pa:ent is in? Non- funct Benign Adenoma Ganglioneuromas Myelolipomas Benign cysts Pheochromocytoma Cushing s Adenoma Aldosteronoma Metasta:c CA Adrenocor:cal CA
11 3 Ques5ons to ask yourself 3 Func5onal tumors to screen 3 Blood tests to order 3 CT scan characteris5cs to consider
12 The Complete Idiot s Guide to The Incidental Adrenal Mass Three ques:ons need to be addressed 1. Is the tumor hormonally ac5ve? 2. Does it have radiologic characteris5cs sugges5ve of a malignant lesion? 3. Does the pa5ent have a history of a previous malignant lesion?
13 The Complete Idiot s Guide to The Incidental Adrenal Mass 1. Is the tumor hormonally ac5ve? Cushing s Adenoma Pheochromocytoma Aldosteronoma
14 The Complete Idiot s Guide to The Incidental Adrenal Mass 1. Is the tumor hormonally ac5ve? Cushing s Adenoma Overnight Dexamethasone Suppresion Test Pheochromocytoma Plasma Metanephrines Aldosteronoma Plasma Aldosterone /Plasma Renin Ac:vity
15 What about 24hr Urine Collec5on? X
16 Pheochromocytoma Screening Urine catecholamines/metanephrines Sensi5vity % Specificity % Average Total Cost $4.13 Plasma Metanephrines Sensi5vity= % Specificity= 85-89% $5.89
17 Cushing s Adenoma Screening Urine cor:sol vs. ODST Suppression of the plasma cor5sol level to <1.8 µg/dl has the best nega5ve predic5ve value for Cushing s syndrome AACE/AAES Adrenal Incidentaloma Guidelines, Endocr Pract. 2009;15
18 Typical Order Set 1. Dexamethasone 1mg PO taken at 11pm 2. Cor:sol level drawn at 8 a.m. the morning a^er the dexamethasone was taken 3. Plasma metanephrines 4. Plasma aldosterone concentra:on 5. Plasma renin acitvity
19 Details, Details, Details Pheochromocytoma Off phenoxybenzamine, caffeine, B- blockers, TCA s, MOI, Buspar, acetaminophen 5 days prior to lab work. No nico:ne or ETOH for at least 12hrs prior to lab work
20 Details, Details, Details Hyperaldosteronism Off ACE inhibitors and Spirinolactone for 4-6 weeks prior to lab work.
21 3 Ques5ons to ask yourself 3 Func5onal tumors to screen 3 Blood tests to order 3 CT scan characteris5cs to consider
22 Young, WF. N Engl J Med 2007;356:
23 3 CT scan characteris:cs to consider 1 2 Three ques:ons need to be addressed 3 Young, WF. N Engl J Med 2007;356:
24 The Complete Idiot s Guide to The Incidental Adrenal Mass Three ques:ons need to be addressed 1. Is the tumor hormonally ac5ve? 2. Does it have radiologic characteris5cs sugges5ve of a malignant lesion? 3. Does the pa:ent have a history of a previous malignant lesion?
25 Does the pa:ent have a history of a previous malignant lesion? 2.5% prevalence of metasta:c lesions among incidentalomas - Rule out biochemical func5on - What was the primary CA? - Consult with oncologist - PET/CT - Biopsy Lung Breast Stomach Kidney Melanoma Lymphoma
26 Follow- up of Pa:ents With a Nonfunc:oning Adrenal Incidentaloma Radiographic reevalua:on at 6 months and then annually for 1 to 2 years. The risk of the mass enlarging during 1, 2, and 5 years is 6%, 14%, and 29%, respec5vely Hormonal evalua:on should be performed at the :me of diagnosis and then annually for up to 5 years. The risk of the mass becoming hormonally ac5ve during those 5me periods is 17%, 29%, and 47%, respec5vely.
27 Follow- up of Pa:ents With a Nonfunc:oning Adrenal Incidentaloma The most common hormonally ac:ve lesion in pa:ents with previously inac:ve adenomas is SCS. Should the tumor grow more than 1 cm or become hormonally ac:ve during follow- up, surgical excision should be considered. Currently, it is unclear what the recommenda:ons should be a^er 5 years of follow- up for a stable, nonfunc:oning adrenal mass.
ADRENAL INCIDENTALOMA. Jamii St. Julien
ADRENAL INCIDENTALOMA Jamii St. Julien Outline Definition Differential Evaluation Treatment Follow up Questions Case Definition The phenomenon of detecting an otherwise unsuspected adrenal mass on radiologic
More informationThe Management of adrenal incidentaloma
The Management of adrenal incidentaloma Dimitrios Linos, MD Director of Surgery, Hygeia Hospital, Athens, Greece Consultant in Surgery, Massachusetts General Hospital, Boston, USA 8 th Postgraduate Course
More informationEndocrine MR. Jan 30, 2015 Michael LaFata, MD
Endocrine MR Jan 30, 2015 Michael LaFata, MD Brief case 55-year-old female in ED PMH: HTN, DM2, HLD, GERD CC: Epigastric/LUQ abdominal pain, N/V x2 days AF, HR 103, BP 155/85, room air CMP: Na 133, K 3.6,
More informationApproach to Adrenal Incidentaloma. Alice Y.Y. Cheng, MD, FRCP
Approach to Adrenal Incidentaloma Alice Y.Y. Cheng, MD, FRCP Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored, or transmitted in any form
More informationAdrenal incidentaloma guideline for Northern Endocrine Network
Adrenal incidentaloma guideline for Northern Endocrine Network Definition of adrenal incidentaloma Adrenal mass detected on an imaging study done for indications that are not related to an adrenal problem
More informationEvaluation of Thyroid Nodules
Evaluation of Thyroid Nodules Stephan Kowalyk, MD January 25 28, 2018 1 Primary goal Exclude malignancy Incidental thyroid nodules If found on CT, MRI, PET scan, carotid Doppler ULTRASOUND!! January 25
More informationThe Work-up and Treatment of Adrenal Nodules
The Work-up and Treatment of Adrenal Nodules Lawrence Andrew Drew Shirley, MD, MS, FACS Assistant Professor of Surgical-Clinical Department of Surgery Division of Surgical Oncology The Ohio State University
More informationEndocrine. Endocrine as it relates to the kidney. Sarah Elfering, MD University of Minnesota
Endocrine Sarah Elfering, MD University of Minnesota Endocrine as it relates to the kidney Parathyroid gland Vitamin D Endocrine causes of HTN Adrenal adenoma PTH Bone Kidney Intestine 1, 25 OH Vitamin
More informationCase Based Urology Learning Program
Case Based Urology Learning Program Resident s Corner: UROLOGY Case Number 4 CBULP 2010 004 Case Based Urology Learning Program Editor: Associate Editors: Manager: Case Contributors: Steven C. Campbell,
More informationTHE WORK-UP OF ADRENAL INCIDENTALOMA
THE WORK-UP OF ADRENAL INCIDENTALOMA Maria Cristina De Martino Dipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia Università Federico II di Napoli Definition and epidemiology Most
More informationMineralocorticoids: aldosterone Angiotensin II/renin regulation by sympathetic tone; High potassium will stimulate and ACTH Increase in aldosterone
Disease of the Adrenals 1 Zona Glomerulosa Mineralocorticoids: aldosterone Angiotensin II/renin regulation by sympathetic tone; High potassium will stimulate and ACTH Increase in aldosterone leads to salt
More informationAdrenal Incidentaloma Management
Adrenal Incidentaloma Management Full Title of Guideline: Author Management of Incidentally-discovered Adrenal Lesions ( Incidentalomas ) Mr David Chadwick Consultant Endocrine Surgeon david.chadwick2@nuh.nhs.uk
More informationAdrenal Mass. Cynthia Kwong SUNY Downstate Medical Center Grand Rounds October 13, 2016
Adrenal Mass Cynthia Kwong SUNY Downstate Medical Center Grand Rounds October 13, 2016 Case Presentation 65F found to have a 4cm left adrenal mass in 2012 now presents with 6.7cm left adrenal mass PMHx:
More informationDimitrios Linos, M.D., Ph.D. Professor of Surgery National & Kapodistrian University of Athens
Dimitrios Linos, M.D., Ph.D. Professor of Surgery National & Kapodistrian University of Athens What is an adrenal incidentaloma? An adrenal incidentaloma is defined as an adrenal tumor initially diagnosed
More informationHypertension: Who and How (and Why) to Investigate. Jessica Triay Andy Levy
Hypertension: Who and How (and Why) to Investigate Jessica Triay Andy Levy What I'm not going to talk about Most Common: Renal Disease Renal USS Likely to be normal if bloods and urine normal Renal artery
More informationTrust Guideline for the Investigation of Incidental Adrenal Masses in Adults
A clinical guideline recommended for use For Use in: A&E, Medical Assessment Unit, ITU/HDU Medical and Surgical wards By: Medical, Clinical investigation unit and Surgical staff For: Investigation of incidental
More information57-year-old man with anxiety, diaphoresis, fatigue and bilateral adrenal nodules. Celeste Thomas November 1, 2012
57-year-old man with anxiety, diaphoresis, fatigue and bilateral adrenal nodules Celeste Thomas November 1, 2012 History of Present Illness 8 months prior to presentation developed intermittent right flank
More informationEndocrine Surgery When to Refer and What We Do
Endocrine Surgery When to Refer and What We Do None Disclosures W. Heath Giles, M.D., F.A.C.S. Surgery Residency Program Director Assistant Professor of Surgery What is Endocrine Surgery? Who performs
More informationEndocrine Testing. Alice Y.Y. Cheng, MD, FRCP October 14, 2015
Endocrine Testing Alice Y.Y. Cheng, MD, FRCP October 14, 2015 Disclosure No disclosures relevant to the content of this workshop Learning Objectives By the end of this workshop, you will be able to: 1.
More informationThe Evaluation of the Incidental Adrenal Mass and Not-So-Incidental Adrenal Hormone Excess
The Evaluation of the Incidental Adrenal Mass and Not-So-Incidental Adrenal Hormone Excess Richard J. Auchus, MD, PhD, FACE Depts. Internal Medicine/MEND & Pharmacology Endocrinology Fellowship Program
More informationAdrenal gland Incidentaloma
Adrenal gland Incidentaloma Topic review 17 sep 2008 Anatomy 1 Anatomical consideration Blood supply Artery: small branches from Inf. phrenic, renal artery and aorta Vein: Rt : medial aspect to IVC Lt
More informationSPECT- CT and PET- CT in Endocrine tumours. Prof John Buscombe
SPECT- CT and PET- CT in Endocrine tumours Prof John Buscombe Introduc:on Parathyroid adenoma Hyperinsulinoma Adrenal imaging Pituitary imaging Parathyroid Tumours Can be seen in MEN1 Nuclear Medicine
More informationAdrenal Incidentalomas. G Stephen DeCherney, MD, MPH Clinical Professor of Medicine Division of Endocrinology UNC School of Medicine
Adrenal Incidentalomas G Stephen DeCherney, MD, MPH Clinical Professor of Medicine Division of Endocrinology UNC School of Medicine Disclosures No financial, investment, or consulting relationship with
More informationESUR 2018, Sept. 13 th.-16 th., 2018 Barcelona, Spain
ESUR 2018, Sept. 13 th.-16 th., 2018 Barcelona, Spain OUR APPROACH Incidental adrenal nodule/mass Isaac R Francis, M.B;B.S University of Michigan, Ann Arbor, Michigan Disclosures None (in memory) M Korobkin,
More informationPheochromocytoma AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGY ILLINOIS CHAPTER OCTOBER 13, 2018
Pheochromocytoma AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGY ILLINOIS CHAPTER OCTOBER 13, 2018 Steven A. De Jong, M.D., FACS, FACE Professor and Vice Chair of Surgery Chief, Division of General Surgery
More informationin Primary Care (Part 2) Jonathan R. Anolik, MD, FACP, FACE Lewis Katz School of Medicine at Temple University
Common Endocrine Problems Seen in Primary Care (Part 2) Lecture #34 Jonathan R. Anolik, MD, FACP, FACE Lewis Katz School of Medicine at Temple University None Conflict of Interest Topics to be Covered
More informationIncidental Adrenal Nodules Differential Diagnosis
Adrenal Stuff Richard J. Auchus, MD, PhD, FACE Division of Metabolism, Endocrinology & Diabetes Departments of Internal Medicine & Pharmacology University of Michigan/VA Ann Arbor Incidental Adrenal Nodules
More informationADRENAL LESIONS 10/09/2012. Adrenal + lesion. Introduction. Common causes. Anatomy. Financial disclosure. Dr. Boraiah Sreeharsha. Nothing to declare
ADRENAL LESIONS Financial disclosure Nothing to declare Dr. Boraiah Sreeharsha MBBS;FRCR;FRCPSC Introduction Adrenal + lesion Adrenal lesions are common 9% of the population Increase in the detection rate
More information27 F with new onset hypertension and weight gain. Rajesh Jain Endorama 10/01/2015
27 F with new onset hypertension and weight gain Rajesh Jain Endorama 10/01/2015 HPI 27 F with hypertension x 1 year BP 130-140/90 while on amlodipine 5 mg daily She also reports weight gain, 7 LB, mainly
More informationCOPYRIGHTED MATERIAL. Adrenal Imaging. 1.1 Introduction. Khaled M. Elsayes 1, Isaac R. Francis 1, Melvyn Korobkin 1 and Gerard M.
1 Adrenal Imaging Khaled M. Elsayes 1, Isaac R. Francis 1, Melvyn Korobkin 1 and Gerard M. Doherty 2 1 Department of Radiology, University of Michigan 2 Department of Radiology and Surgery, University
More informationADRENAL INCIDENTALOMAS _ A MANAGEMENT APPROACH Dr Tan Khai Tong
T H E M E : A S T H M A ARENAL INCIENTALOMAS _ A MANAGEMENT APPROACH r Tan Khai Tong SUMMARY The adrenal incidentaloma is an increasingly common clinical problem. Although most of these masses are innocuous,
More informationTHE FACTS YOU NEED TO KNOW
PHEOCHROMOCYTOMA THE FACTS YOU NEED TO KNOW Pheochromocytoma is a part of the pheochromocytoma and paraganglioma group of syndromes. A pheochromocytoma is a tumor arising in the adrenal gland medulla.
More informationAdrenal Incidentalomas. Dr A Tabarin University Hospital of Bordeaux (France)
Adrenal Incidentalomas Dr A Tabarin University Hospital of Bordeaux (France) Adrenal Incidentalomas - Basics Definition : Incidental Discovery Rate of discovery # 4 % over 50 yo Bilateral AI : 10-15 %
More informationPersonal data. Age : 63 Gender : male
Personal data Age : 63 Gender : male Chief complain No specific symptom or discomfort A hepatic mass, found by abdominal sonography of routine health exam on 88-12-08 Past history 1984-3-3 Old CVA with
More informationHow to Recognize Adrenal Disease
How to Recognize Adrenal Disease CME Away India & Sri Lanka March 23 - April 7, 2018 Richard A. Bebb MD, ABIM, FRCPC Consultant Endocrinologist Medical Subspecialty Institute Cleveland Clinic Abu Dhabi
More informationPrevalence of adrenal incidentaloma a methodologic comparison of EMR query strategies
Prevalence of adrenal incidentaloma a methodologic comparison of EMR query strategies Michio Taya, BA 1 ; Viktoriya Paroder, MD, PhD 2 ; Eran Bellin, MD 3,4 ; Linda Haramati, MD, MS 2,3 2 Departments of
More informationSTANDARDIZED MANAGEMENT RECOMMENDATIONS FOR ADRENAL NODULES: EVIDENCE-BASED CONSENSUS POWERSCRIBE MACROS FROM AN ACADEMIC/PRIVATE PRACTICE
STANDARDIZED MANAGEMENT RECOMMENDATIONS FOR ADRENAL NODULES: EVIDENCE-BASED CONSENSUS POWERSCRIBE MACROS FROM AN ACADEMIC/PRIVATE PRACTICE COLLABORATIVE Pamela Johnson 1, Darcy Wolfman 2, Upma Rawal 3,
More informationA 5-Year Prospective Follow-Up Study of Lipid-Rich Adrenal Incidentalomas: No Tumor Growth or Development of Hormonal Hypersecretion
Original Article Endocrinol Metab 2015;30:481-487 http://dx.doi.org/10.3803/enm.2015.30.4.481 pissn 2093-596X eissn 2093-5978 A 5-Year Prospective Follow-Up Study of Lipid-Rich Adrenal Incidentalomas:
More informationEndocrine Topic Review. Sethanant Sethakarun, MD
Endocrine Topic Review Sethanant Sethakarun, MD Definition Cushing's syndrome comprises a large group of signs and symptoms that reflect prolonged and in appropriately high exposure of tissue to glucocorticoids
More informationEndocrine Hypertension: A Logical Approach. NORLELA SUKOR MD, MMED, PhD Consultant Endocrinologist University Kebangsaan Malaysia Medical Center
Endocrine Hypertension: A Logical Approach NORLELA SUKOR MD, MMED, PhD Consultant Endocrinologist University Kebangsaan Malaysia Medical Center Outline of PresentaEon Causes of Hypertension Endocrine Hypertension
More informationDaniela Faivovich K., MS VII Universidad de Chile Gillian Lieberman, MD Harvard Medical School
Daniela Faivovich K., MS VII Universidad de Chile Gillian Lieberman, MD Harvard Medical School May 21st, 2010 56 year old male patient History of hypertension, hyperlipidemia and insulin-resistance 2009:
More informationHealth Sciences Centre, Team A, Dr. L. Bohacek (Endocrine Surgery) Medical Expert
Health Sciences Centre, Team A, Dr. L. Bohacek (Endocrine Surgery) Introduction Medical Expert This is a three month PGY 1-5 rotation in which residents gain exposure in the care and management of patients
More informationHow do I investigate suspected secondary hypertension? Marie Freel RCP Update in Medicine 23 rd November 2016
How do I investigate suspected secondary hypertension? Marie Freel RCP Update in Medicine 23 rd November 2016 World beaters..! Michel Joffres et al. BMJ Open 2013;3:e003423 Hypertension often poorly controlled
More informationInquadramento Clinico dell IncIdentaloma SurrenalIco
Ferrara, 7 dicembre 2012 Inquadramento Clinico dell IncIdentaloma SurrenalIco Marta Bondanelli Sezione di Endocrinologia Dip. di Scienze Mediche Università degli Studi di Ferrara ADRENAL INCIDENTALOMA
More informationHow to approach resistant hypertension. Teh-Li Huo, M.D., Ph.D.
How to approach resistant hypertension Teh-Li Huo, M.D., Ph.D. BP goals No risk factors:
More informationCharacterization of adrenal lesions on CT and MRI: all that a radiologist must know
Characterization of adrenal lesions on CT and MRI: all that a radiologist must know Poster No.: C-2476 Congress: ECR 2013 Type: Educational Exhibit Authors: N. Benzina, S. MAJDOUB, C. H. ZARRAD, H. Zaghouani,
More informationIndications for Surgical Removal of Adrenal Glands
The adrenal glands are orange-colored endocrine glands which are located on the top of both kidneys. The adrenal glands are triangular shaped and measure about one-half inch in height and 3 inches in length.
More informationMILD HYPERCORTISOLISM DUE TO ADRENAL ADENOMA: IS IT REALLY SUBCLINICAL?
MILD HYPERCORTISOLISM DUE TO ADRENAL ADENOMA: IS IT REALLY SUBCLINICAL? Alice C. Levine, MD Professor of Medicine Division of Endocrinology, Diabetes and Bone Diseases Georgia-AACE 2017 Annual Meeting
More informationRadiology reporting of adrenal incidentalomas who requires further testing?
CLINICAL PRACTICE Clinical Medicine 2014 Vol 14, No 1: 16 21 Radiology reporting of adrenal incidentalomas who requires further testing? Authors: Fiona Paterson, A Aikaterini Theodoraki, B Adaugo Amajuoyi,
More informationRyan Niederkohr, M.D. Slides are not to be reproduced without permission of author
Ryan Niederkohr, M.D. CMS: PET/CT CPT CODES 78814 Limited Area (e.g., head/neck only; chest only) 78815 78816 Regional (skull base to mid-thighs) True Whole Body (skull vertex to feet) SELECTING FIELD
More informationTake Home Messages in Endocrinology
Conflict of Interest/Disclosures Take Home Messages in Endocrinology None Carolyn Becker, MD 2 Diabetes Thyroid Pituitary Adrenal Hypoglycemia Overview Diagnostic Criteria for T2DM Diabetes should be diagnosed
More informationSCBT-MR 2015 Incidentaloma on Chest CT
SCBT-MR 2015 Incidentaloma on Chest CT Reginald F. Munden MD, DMD, MBA I have no conflicts of interest to report Incidentaloma Pulmonary Nodule Mediastinal Lymph Node Coronary Artery Calcium Incidental
More informationWell Differen*ated Thyroid Microcarcinoma. Robert A. Levine, MD, FACE, ECNU Thyroid Center of New Hampshire Geisel School of Medicine at Dartmouth
Well Differen*ated Thyroid Microcarcinoma Robert A. Levine, MD, FACE, ECNU Thyroid Center of New Hampshire Geisel School of Medicine at Dartmouth Objec*ves (1) Review epidemiology of thyroid microcarcinoma.
More informationA Woman with Long-Standing Hypertension Diagnosed with Metastatic Adrenal Carcinoma
A Woman with Long-Standing Hypertension Diagnosed with Metastatic Adrenal Carcinoma Mir A. Alikhan, MD* Frank J. Pikul, MD Peter P. Toth, MD, PhD *Department of Hematology/Oncology, Sterling Rock Falls
More information301 S. Westfield Rd., Suite 250 Madison, WI See inside for information about our Endocrine Surgery Referral Program
301 S. Westfield Rd., Suite 250 Madison, WI 53717 See inside for information about our Endocrine Surgery Referral Program December 2017 Dear Colleague, Thank you for referring your patient(s) to UW Health
More informationAdrenal Incidentaloma Sara Galac, DVM PhD Faculty of Veterinary Medicine, Utrecht University, The Netherlands
Adrenal Incidentaloma Sara Galac, DVM PhD Faculty of Veterinary Medicine, Utrecht University, The Netherlands In the last decennium, the diagnosis of adrenal incidentaloma (AI) has become increasingly
More informationULTIMATE BEAUTY OF BIOCHEMISTRY. Dr. Veena Bhaskar S Gowda Dept of Biochemistry 30 th Nov 2017
ULTIMATE BEAUTY OF BIOCHEMISTRY Dr. Veena Bhaskar S Gowda Dept of Biochemistry 30 th Nov 2017 SUSPECTED CASE OF CUSHING S SYNDROME Clinical features Moon face Obesity Hypertension Hunch back Abdominal
More informationPaget s Disease of Bone
Paget s Disease of Bone Copyright Copyright 2019 American 2019 American Associa7on Associa7on of Clinical of Clinical Endocrinologists Endocrinologists 1 A Common Bone Disorder Paget s disease of bone
More informationRead the following article and answer the questions that follow. Refer to the Keys section to check your answers.
ENGLISH 183 READING PRACTICE - Pheochromocytoma Read the following article and answer the questions that follow. Refer to the Keys section to check your answers. Pheochromocytoma is a tumor on the medulla
More informationSecondary Hypertension: A Real World Approach
Secondary Hypertension: A Real World Approach Evan Brittain, MD December 7, 2012 Kingston, Jamaica Disclosures None Real World Causes Renovascular Hypertension Endocrine Obstructive Sleep Apnea Pseudosecondary
More informationManagement of adrenal incidentalomas
31 Management of adrenal incidentalomas KEVIN MURTAGH, NANA MUHAMMAD AND MAREK MILLER The return of a scan result with reference to an incidental finding of an adrenal mass is a common scenario. 1 The
More informationJohn Sutton, DO, FACOI, FACE, CCD. Carson Tahoe Endocrinology Carson City, NV KCOM Class of 1989
John Sutton, DO, FACOI, FACE, CCD Carson Tahoe Endocrinology Carson City, NV KCOM Class of 1989 Gonadal Physiology and Disease 3 No Disclosures Gonadal Axis Hypothalamic-pituitary-gonadal Feedback mechanisms
More informationClinical Characteristics for 348 Patients with Adrenal Incidentaloma
Original Article Endocrinol Metab 2013;28:20-25 http://dx.doi.org/10.3803/enm.2013.28.1.20 pissn 2093-596X eissn 2093-5978 Clinical Characteristics for 348 Patients with Adrenal Incidentaloma Jongho Kim,
More informationEvaluation of Incidental Lesions Discovered at Imaging
Evaluation of Incidental Lesions Discovered at Imaging Radiology Associates of Indianapolis Richard L Scales MD Indeterminate Lesions Current Discussion Future Discussion Thyroid nodule Adrenal nodule
More informationAdrenal incidentaloma
Adrenal incidentaloma Prevalence 5% post-mortem series 4% CT series 6-20% CT series in patients with Hx extra-adrenal malignancy Commoner with increasing age Associated with adrenal hyperfunction in 15%
More informationOdise Cenaj, Harvard Medical School Year III. Gillian Lieberman, MD
February 2012 Radiologic evaluation of adrenal masses and an atypical radiologic presentation of adrenocortical carcinoma in a patient with primary aldosteronism Odise Cenaj, Harvard Medical School Year
More informationCUSHING S SYNDROME THE FACTS YOU NEED TO KNOW
CUSHING S SYNDROME THE FACTS YOU NEED TO KNOW Written by: Paul Margulies, MD, FACE, FACP, Medical Director, NADF. Clinical Associate Professor of Medicine, Zucker School of Medicine at Hofstra/Northwell.
More informationPrimary Hyperparathyroidism
Primary Hyperparathyroidism Copyright Copyright 2019 2019 American American Associa7on Associa7on of Clinical of Clinical Endocrinologists Endocrinologists 1 Primary Hyperparathyroidism In primary hyperparathyroidism
More informationA pictorial essay depicting CT and MR characteristic of adrenal pathologies: Indian study
A pictorial essay depicting CT and MR characteristic of adrenal pathologies: Indian study Poster No.: C-0703 Congress: ECR 2011 Type: Educational Exhibit Authors: A. J. B. Baxi, K. L. Tourani, N. R. Thanugonda,
More information18F-FDG PET for the Identification of Adrenocortical Carcinomas among Indeterminate Adrenal Tumors at Computed Tomography Scanning
World J Surg (2010) 34:1506 1510 DOI 10.1007/s00268-010-0576-3 18F-FDG PET for the Identification of Adrenocortical Carcinomas among Indeterminate Adrenal Tumors at Computed Tomography Scanning Marie Laure
More informationPituitary, Parathyroid Pheochromocytomas & Paragangliomas: The 4 Ps of NETs
Pituitary, Parathyroid Pheochromocytomas & Paragangliomas: The 4 Ps of NETs Shereen Ezzat, MD, FRCP(C), FACP Professor Of Medicine & Oncology Head, Endocrine Oncology Princess Margaret Hospital/University
More informationRECURRENT ADRENAL DISEASE. Megan Applewhite Endorama 2/19/2015 SR , SC
RECURRENT ADRENAL DISEASE Megan Applewhite Endorama 2/19/2015 SR 2412318, SC 3421561 Category: Adrenal Attendings: Angelos & Grogan PATIENT #1 36yo woman with a hx of Cushing s Syndrome and right adrenalectomy
More informationNeoplasia 2018 lecture 11. Dr H Awad FRCPath
Neoplasia 2018 lecture 11 Dr H Awad FRCPath Clinical aspects of neoplasia Tumors affect patients by: 1. their location 2. hormonal secretions 3. paraneoplastic syndromes 4. cachexia Tumor location Even
More informationAdrenal Ganglioneuroma Presenting With Adrenal Insufficiency After Unilateral Adrenalectomy
ISPUB.COM The Internet Journal of Urology Volume 9 Number 1 Adrenal Ganglioneuroma Presenting With Adrenal Insufficiency After Unilateral Adrenalectomy S Bontha, N Sanalkumar, M Istarabadi, G Lepsien,
More informationC h a p t e r 3 8 Cushing s Syndrome : Current Concepts in Diagnosis and Management
C h a p t e r 3 8 Cushing s Syndrome : Current Concepts in Diagnosis and Management Padma S Menon Professor of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai A clinical syndrome resulting
More informationUpdate in Pheochromocytoma/Paraganglioma: Focus on Diagnosis and Management
Update in Pheochromocytoma/Paraganglioma: Focus on Diagnosis and Management Ohk-Hyun Ryu, MD. Associate Professor, Department of Internal Medicine Division of Endocrinology and Metabolism College of Medicine,
More informationMeasure #405: Appropriate Follow-up Imaging for Incidental Abdominal Lesions National Quality Strategy Domain: Effective Clinical Care
Measure #405: Appropriate Follow-up Imaging for Incidental Abdominal Lesions National Quality Strategy Domain: Effective Clinical Care 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION:
More informationCurrent Management of Adrenal Cortical Carcinoma
Current Management of Adrenal Cortical Carcinoma American Association of Clinical Endocrinologists Texas Chapter of the AACE Annual Meeting And Texas Endocrine Surgery Symposium August 4, 2017 Jeffrey
More informationWilliam F. Young, Jr., MD, MSc Professor of Medicine, Mayo Clinic, Rochester, MN USA
The Year in Adrenal William F. Young, Jr., MD, MSc Professor of Medicine, Mayo Clinic, Rochester, MN USA Division of ENDOCRINOLOGY, DIABETES, METABOLISM & NUTRITION 2018 Mayo Foundation for Medical Education
More informationCase Report Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor
Case Reports in Endocrinology Volume 2015, Article ID 380151, 4 pages http://dx.doi.org/10.1155/2015/380151 Case Report Adrenal Lymphangioma Masquerading as a Catecholamine Producing Tumor Israel Hodish,
More informationPrimary Aldosteronism
Primary Aldosteronism Odelia Cooper, MD Assistant Professor of Medicine Division of Endocrinology, Diabetes, and Metabolism Cedars-Sinai Medical Center HYPERTENSION CENTER Barriers to diagnosing primary
More informationADRENAL MEDULLARY DISORDERS: PHAEOCHROMOCYTOMAS AND MORE
ADRENAL MEDULLARY DISORDERS: PHAEOCHROMOCYTOMAS AND MORE DR ANJU SAHDEV READER AND CONSULTANT RADIOLOGIST QUEEN MARY UNIVERSITY AND ST BARTHOLOMEW S HOSPITAL BARTS HEALTH, LONDON, UK DISCLOSURE OF CONFLICT
More informationLearning Objectives. 1. Identify which patients meet criteria for annual lung cancer screening
Disclosure I, Taylor Rowlett, DO NOT have a financial interest /arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context
More informationNuclear medicine in endocrinology
Nuclear medicine in endocrinology Thyroid gland: anatomy, function, inflammation, Nuclear medicine in endocrinology tumor dignitiy Parathyroid gland: localisation Adrenal cortex: function Adrenal medulla:
More informationNa#onal Neutropenia Network Family Conference July 12, 2014
Na#onal Neutropenia Network Family Conference July 12, 2014 Jim Connelly, MD Assistant Professor of Pediatrics and Communicable Diseases Blood and Marrow Transplant Program University of Michigan Transplant
More informationApproach to a patient with hypercalcemia
Approach to a patient with hypercalcemia Ana-Maria Chindris, MD Division of Endocrinology Mayo Clinic Florida 2013 MFMER slide-1 Background Hypercalcemia is a problem frequently encountered in clinical
More informationBiosta's'cs Board Review. Parul Chaudhri, DO Family Medicine Faculty Development Fellow, UPMC St Margaret March 5, 2016
Biosta's'cs Board Review Parul Chaudhri, DO Family Medicine Faculty Development Fellow, UPMC St Margaret March 5, 2016 Review key biosta's'cs concepts Understand 2 X 2 tables Objec'ves By the end of this
More informationWHO posi)on paper on hepa))s A vaccines
WHO posi)on paper on hepa))s A vaccines Geneva, Switzerland Published in the Weekly Epidemiological Record on 13 July 2012 Transmission and incidence Hepa))s A virus (HAV) is transmiled primarily via the
More informationThe adrenals are triangular glands that sit atop each kidney. They influence or regulate the
DRAFT STATEMENT February, 00 :0 p.m. NATIONAL INSTITUTES OF HEALTH STATE-OF-THE-SCIENCE CONFERENCE STATEMENT Management of the Clinically Inapparent Adrenal Mass ( Incidentaloma ) February, 00 NIH Statements
More informationSubclinical Cushing s Syndrome
Subclinical Cushing s Syndrome AACE 26th Annual Scientific & Clinical Congress Associate Clinical Professor of Medicine and Clinical Chief University of Miami Miller Scholl of Medicine Miami, Florida aayala2@miami.edu
More informationEndocrinology and VHL: The adrenal and the pancreas
Overview Endocrinology and VHL: The adrenal and the pancreas LAUREN FISHBEIN MD, PHD UNIVERSITY OF COLORADO SCHOOL OF MEDICINE DIVISION OF ENDOCRINOLOGY, METABOLISM AND DIABETES DIVISION OF BIOMEDICAL
More informationProf. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C.
Role of Whole-body Diffusion MR in Detection of Metastatic lesions Prof. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C. Cancer is a potentially life-threatening disease,
More informationConferencia III: Dilemas en el tratamiento de Feocromocitomas y Paragangliomas. Dilemmas in Management of Pheochromocytoma and Paraganglioma
Conferencia III: Dilemas en el tratamiento de Feocromocitomas y Paragangliomas Dilemmas in Management of Pheochromocytoma and Paraganglioma William F. Young, Jr., MD, MSc Mayo Clinic Rochester, MN, USA
More informationBilateral Adrenal Myelolipoma: A Case Report and Review of Literature
Article ID: WMC004085 ISSN 2046-1690 Bilateral Adrenal Myelolipoma: A Case Report and Review of Literature Corresponding Author: Dr. Karthikeyan Selvaraju, Assistant Professor, Kasturba Medical College,
More informationPITUITARY: JUST THE BASICS PART 2 THE PATIENT
PITUITARY: JUST THE BASICS PART 2 THE PATIENT DISCLOSURE Relevant relationships with commercial entities none Potential for conflicts of interest within this presentation none Steps taken to review and
More informationThe endocrine system is made up of a complex group of glands that secrete hormones.
1 10. Endocrinology I MEDCHEM 535 Diagnostic Medicinal Chemistry Endocrinology The endocrine system is made up of a complex group of glands that secrete hormones. These hormones control reproduction, metabolism,
More informationApproach to Pulmonary Nodules
Approach to Pulmonary Nodules Edwin Jackson, Jr., DO Assistant Professor-Clinical Director, James Early Detection Clinic Department of Internal Medicine Division of Pulmonary, Allergy, Critical Care and
More informationLimited value of long-term biochemical follow-up in patients with adrenal incidentalomas-a retrospective cohort study
Yeomans et al. BMC Endocrine Disorders (2015) 15:6 DOI 10.1186/s12902-015-0001-x RESEARCH ARTICLE Open Access Limited value of long-term biochemical follow-up in patients with adrenal incidentalomas-a
More informationPrimary Aldosteronism: screening, diagnosis and therapy
Primary Aldosteronism: screening, diagnosis and therapy Jacques W.M. Lenders, internist DEPT. OF INTERNAL MEDICINE, RADBOUD UNIVERSITY NIJMEGEN MEDICAL CENTER, NIJMEGEN,THE NETHERLANDS DEPT. OF INTERNAL
More informationSafe Answers For The American Board of Surgery Certifying Exam & Recertifying Exam
Safe Answers For The American Board of Surgery Certifying Exam & Recertifying Exam By Sarmad Aji, MD., FACS. A comprehensive review of the most commonly asked questions on the American Board of Surgery
More information