Adrenal Apoplexy - University of Colorado Denver

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Adrenocortical Carcinoma Presentation • Paucity <strong>of</strong> symptoms • Abd pressure or mass • 2/3 hormonally active – Cushings – Virilization
Adrenocortical Carcinoma Imaging • Radiographic phenotype – < 5% <strong>of</strong> incidentalomas – 2% lesions < 4 cm, 6% 4.1-6 cm – 25% > 6 cm – > 10 HU on noncontrast CTS (most > 30 HU) – < 50% washout on delayed contrast CTS – Irregular borders, heterogeneous, metastatic Barzon et al Eur J Endocrinol 2003; Angeli Horm Res 2000;
Page 1 and 2: Department of Surgery Grand Rounds
Page 3 and 4: Case History 1: • A 55 year old m
Page 5 and 6: Question 1: The next step in manage
Page 7 and 8: Adrenal Incidentaloma 3 questions
Page 9 and 10: Case History 4 • 51 year old fema
Page 11 and 12: Question 4: Which of the following
Page 13 and 14: Adrenal Incidentaloma Screening •
Page 15 and 16: Adrenal Incidentaloma Follow up •
Page 17 and 18: Cushing’s Syndrome • Exogenous
Page 19 and 20: Case History 3 • 44 year old fema
Page 21 and 22: Question 3: You advise which manage
Page 23 and 24: Pheochromocytoma Intra-operative Ma
Page 25 and 26: Risk Factors for Hemodynamic Instab
Page 27 and 28: Pheochromocytoma Postoperative Mana
Page 29 and 30: Primary Hyperaldosteronism Screenin
Page 31 and 32: Primary Hyperaldosteronism Adrenal
Page 33 and 34: Hyperaldosteronism Surgical Therapy
Page 35 and 36: Question 2: The next best course of
Page 37: Adrenocortical Carcinoma • Determ
Page 41 and 42: Incidentaloma:Metastatic Disease
Page 43 and 44:
Adrenocortical Carcinoma Medical Th
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Adrenal Apoplexy - University of Colorado Denver

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