Retrospective Detection of Adrenal Incidentaloma Prevalence on Computed Tomography in a District Hospital

Zekeriya Keskin; Mustafa Asım Gedikli

Article Details

Retrospective Detection of Adrenal Incidentaloma Prevalence on Computed Tomography in a District Hospital

Authors:

Zekeriya Keskin | Mustafa Asım Gedikli

Publisher:

Çanakkale Onsekiz Mart University

Main Topics:

İç Hastalıkları

Journal:

Troia Tıp Dergisi Vol.5 Issue 1, pp.1-4

Document Type:

Article

Publication Date:

1/2024

Document Language:

Turkish

Document ID (Org No.):

2001311074

pISSN:

2630-6107

Keywords:

Abstract:

 Introduction: With the increasing use of imaging methods, adrenal incidentalomas AIs have become more common. Despite most being non-functional adenomas, their potential for malignancy and hormonal activity has posed a significant clinical challenge. The aim of this study is to determine the prevalence of adrenal incidentalomas in the adult population. Materials and Methods: Contrast-enhanced and non-contrast abdominal CT images taken between February 2022 and September 2023 at our hospital were screened. Study group was formed with a total of 908 patients. Images of patients were classified based on adrenal lesion characteristics, including location, size, hyperplasia, and thickening, into normal, hyperplastic, and adenomatous. Results: A total of 908 patients aged 18 and above were included in the study. Patients aged 18 to 64 constituted 67 of the study group, while patients aged 65 and above constituted 33. Adenoma was observed in 1 of cases. Of these adenomas, 3 were observed in patients aged 18-64, while 6 adenomas were observed in those aged 65 and above. The prevalence of AI was calculated as 1 for all age groups, 0.5 for those aged 18-64, and 2 for those aged 65 and above. Conclusion: Due to the increasing frequency of imaging methods, adrenal incidentaloma is becoming more common and is becoming a medical problem that should be taken seriously. Accurate determination of the prevalence of AI will increase awareness of this disease. Thus, after appropriate examinations in patients with AI and appropriate treatment of the detected disease, morbidity and mortality will be reduced.

 Introduction: With the increasing use of imaging methods, adrenal incidentalomas AIs have become more common. Despite most being non-functional adenomas, their potential for malignancy and hormonal activity has posed a significant clinical challenge. The aim of this study is to determine the prevalence of adrenal incidentalomas in the adult population. Materials and Methods: Contrast-enhanced and non-contrast abdominal CT images taken between February 2022 and September 2023 at our hospital were screened. Study group was formed with a total of 908 patients. Images of patients were classified based on adrenal lesion characteristics, including location, size, hyperplasia, and thickening, into normal, hyperplastic, and adenomatous. Results: A total of 908 patients aged 18 and above were included in the study. Patients aged 18 to 64 constituted 67 of the study group, while patients aged 65 and above constituted 33. Adenoma was observed in 1 of cases. Of these adenomas, 3 were observed in patients aged 18-64, while 6 adenomas were observed in those aged 65 and above. The prevalence of AI was calculated as 1 for all age groups, 0.5 for those aged 18-64, and 2 for those aged 65 and above. Conclusion: Due to the increasing frequency of imaging methods, adrenal incidentaloma is becoming more common and is becoming a medical problem that should be taken seriously. Accurate determination of the prevalence of AI will increase awareness of this disease. Thus, after appropriate examinations in patients with AI and appropriate treatment of the detected disease, morbidity and mortality will be reduced.

 Introduction: With the increasing use of imaging methods, adrenal incidentalomas AIs have become more common. Despite most being non-functional adenomas, their potential for malignancy and hormonal activity has posed a significant clinical challenge. The aim of this study is to determine the prevalence of adrenal incidentalomas in the adult population. Materials and Methods: Contrast-enhanced and non-contrast abdominal CT images taken between February 2022 and September 2023 at our hospital were screened. Study group was formed with a total of 908 patients. Images of patients were classified based on adrenal lesion characteristics, including location, size, hyperplasia, and thickening, into normal, hyperplastic, and adenomatous. Results: A total of 908 patients aged 18 and above were included in the study. Patients aged 18 to 64 constituted 67 of the study group, while patients aged 65 and above constituted 33. Adenoma was observed in 1 of cases. Of these adenomas, 3 were observed in patients aged 18-64, while 6 adenomas were observed in those aged 65 and above. The prevalence of AI was calculated as 1 for all age groups, 0.5 for those aged 18-64, and 2 for those aged 65 and above. Conclusion: Due to the increasing frequency of imaging methods, adrenal incidentaloma is becoming more common and is becoming a medical problem that should be taken seriously. Accurate determination of the prevalence of AI will increase awareness of this disease. Thus, after appropriate examinations in patients with AI and appropriate treatment of the detected disease, morbidity and mortality will be reduced.

 Giriş: Görüntüleme yöntemlerinin artması ile birlikte adrenal insidentaloma Aİ daha sık görülür olmuş, çoğu non-fonksiyonel adenom olmasına rağmen malignite ve hormonal olarak aktif olabilmeleri nedeniyle önemli bir klinik problem haline gelmiştir. Bu çalışmanın amacı yetişkin yaş popülasyonunda adrenal insidentaloma prevalansının saptanmasıdır. Materyal Metod: Hastanemizde Şubat 2022 ile Eylül 2023 arasında çekilmiş kontrastlı ve kontrastsız abdomen BT görüntüleri tarandı. 18 yaş altı olan hastalar, kanser öyküsü olan ve metastaz şüphesi bulunan hastalar ve künt travma, delici kesici alet yaralanması, ateşli silah yaralanması gibi travmatik sebeplerle acil servise başvurmuş hastalar dahil edilmedi. Bu kriterlere uyan hasta grupları dışarıda bırakıldığında toplam 908 hasta ile çalışma grubu oluşturuldu. Adrenal lezyonun lokalizasyonu, boyutu, hiperplazi ve kalınlaşma gibi özellikleri ile hastaların görüntüleri normal, hiperplazik ve adenom olanlar şeklinde sınıflandırıldı. Bulgular: Çalışmaya 18 yaş üstü 908 hasta alınmıştır. 18 ile 64 yaş arası olan hastalar çalışma grubunun  67sini oluşturmakta iken, 65 yaş üstü hastalar 33ünü oluşturmuştur. Adenom  1 oranında izlendi. Bu adenomlardan 3ü 18-64 yaş arasında görülürken 65 yaş üstünde 6 adenom görülmüştür. Tüm yaş gruplarında Aİ prevalansı 1, 18-64 yaş arası 0,5 ve 65 yaş üstü hastalarda  2 olarak hesaplanmıştır. Sonuç: Görüntüleme yöntemlerinin sıklığının artması sebebiyle adrenal insidentaloma daha fazla görülmekte ve ciddiye alınması gereken bir tıbbi problem haline gelmektedir. Aİ prevalansının doğru saptanması bu hastalığın bilinirliğini artıracaktır. Böylece Aİ saptanan hastalarda uygun incelemeler sonrası, uygun tedavilerle tespit edilen hastalığa bağlı morbidite ve mortalite de azalma sağlanacaktır.

Article Details

Retrospective Detection of Adrenal Incidentaloma Prevalence on Computed Tomography in a District Hospital

Authors:

Zekeriya Keskin | Mustafa Asım Gedikli

Publisher:

Çanakkale Onsekiz Mart University

Main Topics:

İç Hastalıkları

Journal:

Troia Tıp Dergisi Vol.5 Issue 1, pp.1-4

Document Type:

Article

Publication Date:

1/2024

Document Language:

Turkish

Document ID (Org No.):

2001311074

pISSN:

2630-6107

Adrenal

Incidentaloma

Adenom

Computerized TomographyAdrenal

İnsidentaloma

Adenom

Bilgisayarlı Tomografi

Issues

Article Details

Authors: Zekeriya Keskin | Mustafa Asım Gedikli

Publisher: Çanakkale Onsekiz Mart University

Main Topics: İç Hastalıkları

Journal: Troia Tıp Dergisi Vol.5 Issue 1, pp.1-4

Document Type: Article

Publication Date: 1/2024

Document Language: Turkish

Document ID (Org No.): 2001311074

pISSN: 2630-6107

Issues

Authors:

Zekeriya Keskin | Mustafa Asım Gedikli

Publisher:

Çanakkale Onsekiz Mart University

Main Topics:

İç Hastalıkları

Journal:

Troia Tıp Dergisi Vol.5 Issue 1, pp.1-4

Document Type:

Article

Publication Date:

1/2024

Document Language:

Turkish

Document ID (Org No.):

2001311074

pISSN:

2630-6107