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Difference between revisions of "Adrenal gland"
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(/* Adrenal hemangioma{{Cite journal | last1 = Aljabri | first1 = KS. | last2 = Bokhari | first2 = SA. | last3 = Alkeraithi | first3 = M. | title = Adrenal hemangioma in a 19-year-old female. | journal = Ann Saudi Med | volume = 31 | issue = 4 | pages...) |
(→Benign) |
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The section covers non-neoplastic pathologies of the adrenal gland. These uncommonly come to the pathologist. | The section covers non-neoplastic pathologies of the adrenal gland. These uncommonly come to the pathologist. | ||
*Adrenal incidentalomas<ref>{{Cite journal | last1 = Aljabri | first1 = KS. | last2 = Bokhari | first2 = SA. | last3 = Alkeraithi | first3 = M. | title = Adrenal hemangioma in a 19-year-old female. | journal = Ann Saudi Med | volume = 31 | issue = 4 | pages = 421-3 | month = | year = | doi = 10.4103/0256-4947.76411 | PMID = 21293064 }}</ref> | |||
**Adrenal tumors | |||
**Greater than 1 cm | |||
**Identified on imaging performed for other indications | |||
*Found in up to 10% of patients undergoing abdominal imaging. | |||
*Management problematic | |||
** Guidelines incorporate lesion size, functional status and imaging features. | |||
**Resection is generally advocated for | |||
***Functioning lesions. | |||
***Radiographic features suggestive of malignancy. | |||
***Growth during observation. | |||
==Stress response== | ==Stress response== | ||
*In fetuses - fat content increases due to stress<ref name=pmid964978>{{cite journal |author=Becker MJ, Becker AE |title=Fat distribution in the adrenal cortex as an indication of the mode of intrauterine death |journal=Hum. Pathol. |volume=7 |issue=5 |pages=495–504 |year=1976 |month=September |pmid=964978 |doi= |url=}}</ref> -- see: ''[[Fetal_autopsy#Adrenal_fetal_fat_pattern]]''. | *In fetuses - fat content increases due to stress<ref name=pmid964978>{{cite journal |author=Becker MJ, Becker AE |title=Fat distribution in the adrenal cortex as an indication of the mode of intrauterine death |journal=Hum. Pathol. |volume=7 |issue=5 |pages=495–504 |year=1976 |month=September |pmid=964978 |doi= |url=}}</ref> -- see: ''[[Fetal_autopsy#Adrenal_fetal_fat_pattern]]''. | ||
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{{Main|Spironolactone bodies}} | {{Main|Spironolactone bodies}} | ||
==Adrenal hemangioma | ==Adrenal hemangioma== | ||
Radiographic incidentalomas but may be large and calcified raising a radiographic ddx of adrenal cortical carcinoma. | Radiographic incidentalomas but may be large and calcified raising a radiographic ddx of adrenal cortical carcinoma. | ||
*Rare. | *Rare. | ||