RESEARCH ON THE CLINICAL, SUBCLINICAL FEATURES, AND HISTOPATHOLOGY OF THE ADRENAL INCIDENTALOMAS
This study, conducted under the auspices of Viet Duc hospital, aimed to perform a survey on patients with occasionally discovered adrenal masses [adrenal incidentalomas (AI)]. The study examined retrospective evaluation of patients with AI, which included 26 cases from 3 departments in Việt Đức hospital between 1/2006 and 12/2009. The relevant information was obtained through the patients’ medical records.
Hormonal work-up demonstrated that 76.9% of the masses were nonhypersecretory, 11.5% were hypercortisol, 7.7% were hypercatecholamine, and 3.9% were hyperaldosterone: Only 1 patient was performed 1 mg dexamethasone supression test showed cortisol unsuppressibility (3.9%). No patient with pheochromocytoma were hypertensive, and 12.5% showed elevated urinary catecholamines over 2 times than normal. So that endocrine evaluation should be performed in all patients to identify silent states of hormone excess.