Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma

ABSTRACT Introduction: Advances in imaging methods have led to an increasingly frequent diagnosis of adrenal gland lesions as incidental findings. Despite progress in this field, there is still limited information regarding the epidemiology of the clinical and metabolic profile of patients with ad...

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Main Authors: PEDRO VICTOR GONÇALVES MONTALVÃO, IURI MOURA MANGUEIRA, GABRIEL DA MOTTA ALVES, JOÃO VITOR FAZZIO CORDEIRO, MARCIA HELENA SOARES COSTA, GUILHERME DE ANDRADE GAGHEGGI RAVANINI
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Language:English
Published: Colégio Brasileiro de Cirurgiões 2025-01-01
Series:Revista do Colégio Brasileiro de Cirurgiões
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912024000100228&lng=en&tlng=en
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author PEDRO VICTOR GONÇALVES MONTALVÃO
IURI MOURA MANGUEIRA
GABRIEL DA MOTTA ALVES
JOÃO VITOR FAZZIO CORDEIRO
MARCIA HELENA SOARES COSTA
GUILHERME DE ANDRADE GAGHEGGI RAVANINI
author_facet PEDRO VICTOR GONÇALVES MONTALVÃO
IURI MOURA MANGUEIRA
GABRIEL DA MOTTA ALVES
JOÃO VITOR FAZZIO CORDEIRO
MARCIA HELENA SOARES COSTA
GUILHERME DE ANDRADE GAGHEGGI RAVANINI
author_sort PEDRO VICTOR GONÇALVES MONTALVÃO
collection DOAJ
description ABSTRACT Introduction: Advances in imaging methods have led to an increasingly frequent diagnosis of adrenal gland lesions as incidental findings. Despite progress in this field, there is still limited information regarding the epidemiology of the clinical and metabolic profile of patients with adrenal incidentaloma (AI). The objective is analyze the epidemiology of adrenal tumors at Gaffrée e Guinle University Hospital (HUGG) and compare it with data from the literature. Method: This is a cross-sectional study that included patients of any gender and age who was treated at HUGG for adrenal tumors. Results: The following variables were evaluated: age, gender, functionality, benignity, and size. We also analyzed the metabolic profile of patients with AI, specifically those with mild autonomy cortisol secretion. Out of 31 patients with adrenal tumors, 68% were female. The mean age was 55 years with a standard deviation of ±16.2. 54% of the sample had adrenal incidentalomas. 93.6% of the sample had benign cases. Among the adrenal incidentalomas, 53% were non-functioning. In patients with adrenal tumors, only 10% had metabolic syndrome, while in patients with mild autonomous cortisol secretion, this number rose to 17%. Conclusion: The sample of patients with adrenal tumors and incidentaloma at HUGG presented a prevalence of metabolic complications similar to that found in the literature.
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spelling doaj-art-de72ac52f1d74acdaf60814c465307032025-01-21T07:42:26ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462025-01-015110.1590/0100-6991e-20243685-enEvaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentalomaPEDRO VICTOR GONÇALVES MONTALVÃOhttps://orcid.org/0009-0002-3628-5426IURI MOURA MANGUEIRAGABRIEL DA MOTTA ALVESJOÃO VITOR FAZZIO CORDEIROhttps://orcid.org/0009-0009-0888-4641MARCIA HELENA SOARES COSTAhttps://orcid.org/0000-0001-5721-3750GUILHERME DE ANDRADE GAGHEGGI RAVANINIhttps://orcid.org/0000-0002-4969-5742ABSTRACT Introduction: Advances in imaging methods have led to an increasingly frequent diagnosis of adrenal gland lesions as incidental findings. Despite progress in this field, there is still limited information regarding the epidemiology of the clinical and metabolic profile of patients with adrenal incidentaloma (AI). The objective is analyze the epidemiology of adrenal tumors at Gaffrée e Guinle University Hospital (HUGG) and compare it with data from the literature. Method: This is a cross-sectional study that included patients of any gender and age who was treated at HUGG for adrenal tumors. Results: The following variables were evaluated: age, gender, functionality, benignity, and size. We also analyzed the metabolic profile of patients with AI, specifically those with mild autonomy cortisol secretion. Out of 31 patients with adrenal tumors, 68% were female. The mean age was 55 years with a standard deviation of ±16.2. 54% of the sample had adrenal incidentalomas. 93.6% of the sample had benign cases. Among the adrenal incidentalomas, 53% were non-functioning. In patients with adrenal tumors, only 10% had metabolic syndrome, while in patients with mild autonomous cortisol secretion, this number rose to 17%. Conclusion: The sample of patients with adrenal tumors and incidentaloma at HUGG presented a prevalence of metabolic complications similar to that found in the literature.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912024000100228&lng=en&tlng=enAdrenocortical HyperfunctionAdrenocortical AdenomaAdrenal Gland NeoplasmsIncidental FindingsAdrenal Gland
spellingShingle PEDRO VICTOR GONÇALVES MONTALVÃO
IURI MOURA MANGUEIRA
GABRIEL DA MOTTA ALVES
JOÃO VITOR FAZZIO CORDEIRO
MARCIA HELENA SOARES COSTA
GUILHERME DE ANDRADE GAGHEGGI RAVANINI
Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma
Revista do Colégio Brasileiro de Cirurgiões
Adrenocortical Hyperfunction
Adrenocortical Adenoma
Adrenal Gland Neoplasms
Incidental Findings
Adrenal Gland
title Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma
title_full Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma
title_fullStr Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma
title_full_unstemmed Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma
title_short Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma
title_sort evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma
topic Adrenocortical Hyperfunction
Adrenocortical Adenoma
Adrenal Gland Neoplasms
Incidental Findings
Adrenal Gland
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912024000100228&lng=en&tlng=en
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