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

Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI:10.1590/0100-6991e-20243685-en

Pedro Victor Gonçalves Montalvão, Iuri Moura Mangueira, Gabriel DA Motta Alves, João Vitor Fazzio Cordeiro, Marcia Helena Soares Costa, Guilherme DE Andrade Gagheggi Ravanini

{"title":"Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma.","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","doi":"10.1590/0100-6991e-20243685-en","DOIUrl":null,"url":null,"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.","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243685"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702972/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista do Colegio Brasileiro de Cirurgioes","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/0100-6991e-20243685-en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

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.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

肾上腺肿瘤的评估及偶发瘤患者的代谢特征分析。

简介：随着影像技术的进步，越来越多的肾上腺病变被诊断为偶然发现。尽管在这一领域取得了进展，但关于肾上腺偶发瘤（AI）患者的临床和代谢特征的流行病学信息仍然有限。目的是分析gaffr e - Guinle大学医院（HUGG）肾上腺肿瘤的流行病学，并与文献资料进行比较。方法：这是一项横断面研究，包括在HUGG治疗肾上腺肿瘤的任何性别和年龄的患者。结果：评估了以下变量：年龄、性别、功能、良性和大小。我们还分析了AI患者的代谢特征，特别是那些轻度自主皮质醇分泌的患者。在31例肾上腺肿瘤患者中，68%为女性。平均年龄55岁，标准差为±16.2。54%的样本有肾上腺偶发瘤。93.6%为良性病例。在肾上腺偶发瘤中，53%无功能。在肾上腺肿瘤患者中，只有10%患有代谢综合征，而在轻度自主皮质醇分泌的患者中，这一数字上升到17%。结论：HUGG的肾上腺肿瘤和偶发瘤患者样本中代谢并发症的发生率与文献中发现的相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Revista do Colegio Brasileiro de Cirurgioes Medicine-Surgery

CiteScore

1.70

自引率

0.00%

发文量

期刊介绍： History: The publication and dissemination of scientific activities of its members is one of the aims of medical societies. The Brazilian College of Surgeons (Colégio Brasileiro de Cirurgiões – CBC), founded in 1929, already in its first statute provided for the issuance of the “Bulletin of the Brazilian College of Surgeons” as its official division, whose starting number was published in January 1930. In 1967, the National Directory of CBC changed its name to "Journal of the Brazilian College of surgeons", which, however, went on to be published without due regularity. From 1974 on, the journal began to be published bi-monthly, on a regular basis, to the present day. In these more than 40 years of uninterrupted publication, the Journal of the CBC gained importance and scope. With standards and criteria for selection and publication of scientific articles in the area of General and specialist Surgery, including "peer review", the Journal of the CBC falls along the lines of the main international journals and has an Editorial Board that evaluates the merits for publication of submitted manuscripts.