Evaluation of Incidental Renal and Adrenal Masses

[D.ap]

We have several friends having to deal with kidney and adrenal gland possible tumors
This article has a down to earth description of imaging process
Abstract
Incidental Renal Masses
Incidental Adrenal Masses
References

Intro :

Incidental renal or adrenal masses are sometimes found during imaging for problems unrelated to the kidneys and adrenal glands. Knowledgeable family physicians can reliably diagnose these masses, thereby avoiding unnecessary worry and procedures for their patients. A practical and cost-efficient means of evaluating renal lesions combines ultrasonography and computed tomographic scanning, with close communication between the family physician and the radiologist. Asymptomatic patients with simple renal cysts require no further evaluation. Patients with minimally complicated renal cysts can be followed radiographically. Magnetic resonance imaging is indicated in patients with indeterminate renal masses, and referral is required in patients with symptoms or solid masses. The need for referral of patients with adrenal masses is determined by careful assessment of clinical signs and symptoms, as well as the results of screening laboratory studies and appropriate radiologic studies. Referral is indicated for patients with incidental adrenal masses more than 6 cm in greatest diameter. Appropriate laboratory screening tests include the following: a 24-hour urinary free cortisol measurement for patients with evidence of Cushing's syndrome; a 24-hour urinary metanephrine, vanillylmandelic acid or catecholamine measurement for patients with evidence of pheochromocytoma; and a serum potassium level for patients with evidence of hyperaldosteronism.
Link:

http://www.aafp.org/afp/2001/0115/p288.html

[Amanda]

Thank you for posting this <3
I am a ASPS patient as you know with an adrenal met over 2 cm sitting on top of the adrenal gland They are ordering CT with an WO contrast an i am requesting that while they have the dam contrast in me IV an drinking they scan pelvic an abdomen an lungs with an wo contrast and my JAW .. since i almost never use contrast because of how i feel i MUST use it for the adrenal mass met or what ever it is :/ I also want the lung where they froze the met on the top of my bronchial scanned... Then we will see if there isn't blood flow!

I love having cryo done an as i have posted before. i would have rather had done this on all my mets and NOT had an open lung surgery.