Prevalence of adrenal incidentaloma in patients performed thorax computed tomography for suspected COVID-19 infection

Authors : Pınar AKHANLI, Sema HEPŞEN, Sanem KAYHAN, Özlem DOĞAN, Yakup DÜZKÖPRÜ, Erman ÇAKAL

Pages : 1105-1108

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Publication Date : 2023-09-28

Article Type : Research Paper

Abstract :Aims: The primary purpose of this study is to make a retrospective evaluation of adrenal incidentaloma insert ignore into journalissuearticles values(AI); prevalence in patients performed thorax computed tomography insert ignore into journalissuearticles values(TCT);, along with determining whether the diagnosed AIs were assessed functionally for adrenal gland hyperfunction and to detect the rate of hyperfunctional AI. Methods: The patients who applied to with the suspected COVID-19 and performed TCT between January 2020 and December 2021, were included in the present study. However, the patients who were followed-up due to a known adrenal mass and a malignant tumor were excluded. Results: TCT imaging, including adrenal glands, was performed on 2580 patients. The mean age for these patients was 54±16.8. However, when the patients were separated into groups in terms of adrenal pathology insert ignore into journalissuearticles values(AP);, the mean age for the patients with and without AP was 61.4±11 and 53.8±16.9, respectively insert ignore into journalissuearticles values(p<0.001);. The number of patients detected with AP, AI, and adrenal hyperplasia was 68 insert ignore into journalissuearticles values(2.6%);, 60 insert ignore into journalissuearticles values(88.2%);, and 7 insert ignore into journalissuearticles values(10.3%);, respectively. The mean mass diameter was 17 insert ignore into journalissuearticles values(11-41);. Bilateral adrenal hyperplasia was not observed in any patients; however, 13 of the patients insert ignore into journalissuearticles values(18.1%); detected with AI and adrenal hyperplasia were evaluated functionally. Hyperfunction was not observed in any of the assessed patients. Conclusion: The prevalence of AI found in our study was similar to other studies in the literature; however, functional evaluations of AIs detected via TCT performed due to suspected COVID-19 remained low. Although they are rare, it is important to define whether AIs are functional or malignant due to the comorbid conditions they create. For this reason, we believe patients with AI should be directed to an endocrinology clinic for a practical examination and follow-up plan.
Keywords : Adrenal incidentaloma, adrenal hyperplasia, COVID 19, prevalence