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Muradyan A.G.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center, Ministry of Health of Russia, Moscow, Russia;
Peoples’ Friendship University of Russia, Moscow, Russia

Kostin A.A.

Herzen Moscow Oncology Research Institute of Healthcare Ministry of the Russian Federation — branch of National Medical Research Radiology Center

Vorob'ev N.V.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im P.A. Gertsena"

Tolkachev A.O.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center, Ministry of Health of Russia, Moscow, Russia

Metastatic adrenal tumors. Epidemiology, etiology, diagnosis

Authors:

Muradyan A.G., Kostin A.A., Vorob'ev N.V., Tolkachev A.O.

More about the authors

Journal: P.A. Herzen Journal of Oncology. 2020;9(3): 53‑60

DOI: 10.17116/onkolog2020903153

Read: 9949 times

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Table of contents

METASTATIC ADRENAL TUMORS. EPIDEMIOLOGY, ETIOLOGY, DIAGNOSIS
METASTATIC ADRENAL TUMORS. EPIDEMIOLOGY, ETIOLOGY, DIAGNOSIS

To cite this article:

Muradyan AG, Kostin AA, Vorob'ev NV, Tolkachev AO. Metastatic adrenal tumors. Epidemiology, etiology, diagnosis. P.A. Herzen Journal of Oncology. 2020;9(3):53‑60. (In Russ.)
https://doi.org/10.17116/onkolog2020903153

Подписка 2026 Онкология. Журнал им. П.А. Герцена (P.A. Herzen Journal of Oncology)
МСФ на ЯМ
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Abstract:

The development of radiation diagnostic methods has led to identification of solitary metastatic adrenal tumors. However, given the high probability of the presence of non-functioning adenomas (up to 80%), differential diagnosis between a metastatic lesion and primary adrenal tumors is necessary. With an oncological history, the conditional probability of diagnosing metastasis in the adrenal gland is ~ 50%. To assess the tumor, CT is used with a special protocol and the determination of the absolute and relative indicator of contrast washout (washout), multiparametric MRI and PET/CT are also used. In case of a solitary adrenal lesion, hormonal activity must be excluded by conducting a small dexamethasone test, determining the level of ACTH, the ratio of aldosterone/renin (in the presence of arterial hypertension or hypokalemia), and the level of methylated derivatives of catecholamines. An adrenal biopsy is useful with ambiguous picture of the disease, if morphological findings can influence treatment tactics. A biopsy is not recommended for a common tumor process and suspected presence of adrenocortical cancer.

Keywords:

metastatic adrenal tumors
secondary adrenal tumors
adrenal tumors
metastasis
diagnosis of adrenal tumors
adrenal gland

Authors:

Muradyan A.G.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center, Ministry of Health of Russia, Moscow, Russia;
Peoples’ Friendship University of Russia, Moscow, Russia

Kostin A.A.

Herzen Moscow Oncology Research Institute of Healthcare Ministry of the Russian Federation — branch of National Medical Research Radiology Center

Vorob'ev N.V.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im P.A. Gertsena"

Tolkachev A.O.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center, Ministry of Health of Russia, Moscow, Russia

Close metadata

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