[Diagnostic benefits of adrenocortical scintigraphy in hepatic adrenal rest tumor]

Nihon Shokakibyo Gakkai Zasshi. 2014 Oct;111(10):2004-12.
[Article in Japanese]

Abstract

An 81-year-old female was referred to our hospital for the examination of an S7 liver tumor. The tumor was suspected to be a hepatic adrenal rest tumor (HART) based on ultrasonography, dynamic CT, Gd-EOB-DTPA-enhanced MRI, and CT during abdominal angiography. After various hormonal tests, the tumor was confirmed as hormonally non-functional. The diagnosis of HART was confirmed based on (131)I-adosterol accumulation in the tumor by adrenocortical scintigraphy. The resected tumor was histologically compatible with HART, and it may have been able to produce cortisol based on the immunohistochemical findings of various adrenocortical hormone metabolic enzymes. Adrenocortical scintigraphy may thus be useful in diagnosing HART.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Adrenal Rest Tumor* / blood supply
  • Adrenal Rest Tumor* / pathology
  • Adrenal Rest Tumor* / surgery
  • Female
  • Humans
  • Liver Neoplasms / blood supply
  • Liver Neoplasms / pathology*
  • Liver Neoplasms / surgery
  • Magnetic Resonance Imaging
  • Multimodal Imaging
  • Tomography, Emission-Computed