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Title of Journal: Endocr

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Abbravation: Endocrine

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Springer US

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DOI

10.1007/s13277-015-3099-6

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1559-0100

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Disappearing adrenal masses

Authors: I G HeRMSEn M P J Polak H R Haak
Publish Date: 2010/07/11
Volume: 38, Issue: 2, Pages: 153-157
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Abstract

Adrenal incidentalomas are a common finding due to the increasing use and improved technology of imaging studies The majority of these enlargements are nonfunctional and irreversible Publications on reversible adrenal enlargement are sparse Our patient a 66yearold man was admitted to the hospital due to abdominal discomfort He was treated for rectal carcinoma 3 years before and was now free of disease Computed tomography CT scan showed no abnormalities other than the incidental finding of bilateral adrenal enlargement Metastasis was suspected The CEAlevel however was within normal range and there was no evidence of hormonal overproduction After 1 month the patient was reviewed Physical examination and laboratory testing were normal Surprisingly the CTscan showed a decreased size of both adrenals and after 3 months even showed completely normalized adrenals Reversible adrenal enlargements are rare Commonly described causes of adrenal enlargement are haematomas cystic lesions and infections of the adrenal glands The patient in this case did not show any clinical laboratory or radiological signs of any of these diagnoses The current existing differential diagnosis for bilateral adrenal enlargement is not sufficient to explain the findings in our patient

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