Is it alright to hold a 1cm mass on the adrenal gland?
For the past year, I've had occasional problems with anxiety, illustrious blood pressure, sweating, headaches and chest pain. Sometimes it feels close to heat rushing through my body. They found a 1cm mass on the adrenal gland, but have ruled out pheochromcytoma, addisons, diabetes, thryroid, coeliac disease. Now I'm told to just not verbs about it, that people sometimes have a 1cm mass on the adrenal gland. Can those test they did to rule out illness be inaccurate or not done properly?
Answers:
You didn't mention what studies were used to evaluate the adrenal mass. While it is true that most adrenal hoi polloi of small (1cm) size are benign adenomas if the CT or MRI's were done in an experienced facility they should have a suitable idea as to whether the mass is benign or not. There are, however, other small adrenal neoplasms that can cause increased blood pressure such as aldosteronomas which are very small vascular tumors.
You asked whether the trial done to rule out disease can be inaccurate. The answer depends upon the reliability of the laboratory that did the studies and which studies were done.
Try a University Medical Center for complicated or difficult diagnostic problems or for second opinions.
Clinicians tend to cold-shoulder masses on the adrenal if they do not fit neatly into such categories, but I find that a significant number of people I autopsy that have anatomic changes of hypertensive disease, also own either a large single nodule in one or the other adrenal or nodular hyperplasia of the adrenal cortex.
What test have your doctor/s done to rule out any component of functioning adrenal nodule (which is different than Addison's)? Have you had to collect your urine for 24 hours? Have they had you hold blood draws at different times of the same day?
No. It is not normal to own a 1 cm mass anywhere in the human body. The mass may be benign or malignant. Blood tests cannot make this distinction. Have your doctors excluded Conn's syndrome (primary hyperaldosteronism)? This is a component of the work-up for hypertension within the presence of an adrenal mass. Has your serum potassium been low?
This mass needs to followed with a repeat MRI (assuming that your doctors imaged the mass beside this type of scan) in three to six months to determine if it is enlarging. If it does enlarge, it could mean trouble. Source(s): My remote medical training.
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Answers:
You didn't mention what studies were used to evaluate the adrenal mass. While it is true that most adrenal hoi polloi of small (1cm) size are benign adenomas if the CT or MRI's were done in an experienced facility they should have a suitable idea as to whether the mass is benign or not. There are, however, other small adrenal neoplasms that can cause increased blood pressure such as aldosteronomas which are very small vascular tumors.
You asked whether the trial done to rule out disease can be inaccurate. The answer depends upon the reliability of the laboratory that did the studies and which studies were done.
Try a University Medical Center for complicated or difficult diagnostic problems or for second opinions.
Clinicians tend to cold-shoulder masses on the adrenal if they do not fit neatly into such categories, but I find that a significant number of people I autopsy that have anatomic changes of hypertensive disease, also own either a large single nodule in one or the other adrenal or nodular hyperplasia of the adrenal cortex.
What test have your doctor/s done to rule out any component of functioning adrenal nodule (which is different than Addison's)? Have you had to collect your urine for 24 hours? Have they had you hold blood draws at different times of the same day?
No. It is not normal to own a 1 cm mass anywhere in the human body. The mass may be benign or malignant. Blood tests cannot make this distinction. Have your doctors excluded Conn's syndrome (primary hyperaldosteronism)? This is a component of the work-up for hypertension within the presence of an adrenal mass. Has your serum potassium been low?
This mass needs to followed with a repeat MRI (assuming that your doctors imaged the mass beside this type of scan) in three to six months to determine if it is enlarging. If it does enlarge, it could mean trouble. Source(s): My remote medical training.
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