Adrenal CT Appearances

Primary Adrenal Carcinoma CT Findings

• Up to ⅓ have calcifications
• Average size is 9cm (range is 3-25cm)
• Tumor enhancement and necrosis may be seen

Other Information About Primary Adrenal Carcinoma

Etiology:

• Generally unknown
• Associated with Lei-Fraumeni Syndrome, Beckwith-Wiedemann Syndrome, and MEN1

Epidemiology:

• 4th-5th decade of life
• Prevalence towards females

Presentation:

• Generally asymptomatic

Prognosis:

• The 5-year relative survival rates are:
  • Localized: 73%
  • Regional: 53%
  • Distant: 38%
  • All SEER stages combined: 50%

Related Pearls: Primary Adrenal Carcinoma

Related Lectures:
CT of the Adrenal Gland: How to Evaluate an Adrenal Mass Part 2
CT Evaluation of Primary Adrenocortical Carcinoma Part 1
CT Evaluation of Primary Adrenocortical Carcinoma Part 2
The Large Adrenal Mass: Pearls and Pitfalls - Part 2
CT of the Adrenal Mass: A Challenging Diagnosis Becomes Even More Difficult - Part 3
CT of the Large Adrenal Mass: Follow, Biopsy, Resect - Part 2
CT of the Large (>4cm) Adrenal Mass: Pearls and Pitfalls - Part 1
CT of the Large (>4cm) Adrenal Mass: Pearls and Pitfalls - Part 2
CT of the Large (>4cm) Adrenal Mass: Pearls and Pitfalls - Part 3