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Primary Aldosteronism With Bilateral Adrenal Nodules on Computed Tomography by William Young; Irina Bancos is a book available to read on EtoBox.

What is Primary Aldosteronism With Bilateral Adrenal Nodules on Computed Tomography about?

The differential diagnosis in a patient with primary aldosteronism (PA) when bilateral adrenocortical nodules are found on adrenal computed tomography (CT) scan includes: bilateral idiopathic nodular hyperplasia, bilateral aldosterone-producing adrenal adenomas, unilateral aldosterone-producing adenoma and contralateral nonfunctioning nodule, and a mix of aldosterone- and cortisol-producing adrenal adenomas. All patients who have an adrenal nodule on CT should be evaluated for cortisol secretory autonomy with baseline blood dehydroepiandrosterone sulfate (DHEA-S) concentration and an overnight dexamethasone suppression test (DST). Whether to pursue subtype evaluation with adrenal venous sampling (AVS) is based on a shared decision-making discussion with the patient. If the patient would like to pursue the surgical treatment option and is a reasonable surgical candidate, then AVS is the best next step.

Author

William Young; Irina Bancos

Publisher

Elsevier

Published

2023

Language

EN