ECE2022 Eposter Presentations Adrenal and Cardiovascular Endocrinology (131 abstracts)
1Istanbul University, Faculty of Medicine, Endocrinology and Metabolism, Istanbul, Turkey; 2Istanbul University, Faculty of Medicine, Radiology, Istanbul, Turkey; 3Istanbul University, Faculty of Medicine, Internal Medicine, istanbul, Turkey.
Background: Adrenal incidentaloma (AI) is described as an adrenal mass detected on imaging not performed for adrenal disease. In coronavirus disease 2019 (COVID-19) pandemic, chest CT evaluation was performed for all ages in adults. In this study, we aimed to detect adrenal adenoma(s) which were identified with chest CT, during COVID-19 diagnostic work-up to find AI prevalence in our population.
Methods: All patients who underwent chest CT examination for COVID-19 at Istanbul University Faculty of Medicine between March 15, 2020 and June 15, 2020, were screened. Patients demographic characteristics were recorded from their medical records. Patients with a history of malignancy were excluded. Images were assessed by two radiologists and consulted with an experienced senior radiologist.
Results: A total of 4449 patients CT images were screened. There were 4108 patients with no lesion (control group) and 248 (5%) patients with at least one lesion (adrenal group). The mean age of the control group was 46.67±17.07 and the adrenal group was 60.65±16.83 years (P<0.001). In 248 patients, there were 134 patients with at least one adrenal nodule (3% among all screened CT images). The mean age of the patients was 58.70±15.09 years. Thirty-four patients had a right nodule, 78 patients had a left nodule and 22 had bilateral nodules. When nodule size and Hounsfield unit (HU) were compared there was no statistically significant difference between the left adrenal gland and right adrenal gland (P=0.57 and P=0.97, respectively).
Conclusion: Our data showed an AI rate of 3% and the majority of nodules were in the left adrenal gland.