Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha
ObjectiveThe management of incidentally discovered adrenal masses (incidentalomas) remains controversial. Our objective was to describe the demographic and clinical characteristics of a series of patients with adrenal incidentalomas attended in several hospitals of Castilla-La Mancha, and their diag...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2009 |
| País: | España |
| Institución: | Universidad de Castilla-La Mancha |
| Repositorio: | RUIdeRA. Repositorio Institucional de la UCLM |
| OAI Identifier: | oai:ruidera.uclm.es:10578/33329 |
| Acceso en línea: | https://hdl.handle.net/10578/33329 |
| Access Level: | acceso abierto |
| Palabra clave: | Adrenal incidentalomas Feocromocitoma Hiperaldosteronismo primario Incidentalomas suprarrenales Pheochromocytoma Primary aldosteronism Síndrome de Cushing subclínico Subclinical Cushing syndrome |
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Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La ManchaLamas Oliveira, CristinaPalma, MercedesMartín, DavidÁlvarez de Frutos, VisitaciónLópez, MaríaMarco, AmparoAdrenal incidentalomasFeocromocitomaHiperaldosteronismo primarioIncidentalomas suprarrenalesPheochromocytomaPrimary aldosteronismSíndrome de Cushing subclínicoSubclinical Cushing syndromeObjectiveThe management of incidentally discovered adrenal masses (incidentalomas) remains controversial. Our objective was to describe the demographic and clinical characteristics of a series of patients with adrenal incidentalomas attended in several hospitals of Castilla-La Mancha, and their diagnostic and therapeutic management.Material and methodsData were obtained by reviewing the patients’ medical charts.ResultsA total of 270 patients were included (28.1% from Toledo, 25.9% from Albacete, 24.1% from Ciudad Real, 15.9% from Cuenca and 5.9% from Guadalajara). The mean age was 60.3 ± 12 and 53.3% were women. Overweight or obesity were found in 80.6%, hypertension in 55.8%, diabetes mellitus in 25.6%, impaired fasting glucose or impaired glucose tolerance in 15.6%, osteopenia in 31.5% and osteoporosis in 20.4%. These percentages were similar in patients with subclinical Cushing's syndrome. Diameter was less than 3 cm in 66% of the tumors, and more than 4 cm in 14.3%. Eighty-five percent of the tumors were detected by computed tomography. After a median follow-up of 28.8 months, 6% of nonfunctioning adenomas progressed to subclinical Cushing's syndrome, tumoral enlargement of more than 1 cm was found in 9.4% and a contralateral mass developed in 8.9%. Surgical adrenalectomy was performed in 14.4% of the patients.ConclusionsOur study confirms the favorable outcome in most patients with adrenal incidentalomas and contributes to a better understanding of this clinical entity.ObjetivoEl manejo de las masas suprarrenales descubiertas de manera incidental (incidentalomas) sigue siendo controvertido. El objetivo de este trabajo es describir las características demográficas y clínicas, así como el manejo diagnóstico-terapéutico, de una serie de pacientes con incidentalomas suprarrenales atendidos en los principales hospitales de Castilla-La Mancha.Material y métodosLos datos se recogieron mediante revisión de historias clínicas.ResultadosSe revisaron las historias clínicas de 270 pacientes (el 28,1% de Toledo, el 25,9% de Albacete, el 24,1% de Ciudad Real, el 15,9% de Cuenca y el 5,9% de Guadalajara), con media de edad de 60,3 ± 12 años y de los que el 53,3% eran mujeres. El 80,6% presentaba sobrepeso u obesidad; el 55,8%, hipertensión arterial; el 25,6%, diabetes mellitus; el 15,6%, alteración de la glucemia en ayunas o intolerancia hidrocarbonada; el 31,5%, osteopenia, y el 20,4%, osteoporosis; estos porcentajes son similares en los pacientes con síndrome de Cushing subclínico. El 66% de los tumores medían menos de 3 cm y el 14,3% más de 4 cm. El 85% fueron detectados por tomografía computarizada. Tras una mediana de seguimiento de 28,8 meses el 6% de los adenomas no funcionantes evolucionaron a un síndrome de Cushing subclínico, en un 9,4% de los casos el diámetro de la masa aumentó más de 1 cm y en un 8,9% apareció una masa contralateral. El 14,4% de los pacientes se sometieron a suprarrenalectomía quirúrgica.ConclusionesNuestro estudio confirma la evolución favorable de la mayoría de los pacientes con incidentalomas suprarrenales y contribuye a un mejor conocimiento de esta entidad clínica.Elsevier202420242009info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://hdl.handle.net/10578/33329reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaEspañolinfo:eu-repo/semantics/openAccessoai:ruidera.uclm.es:10578/333292026-05-27T07:36:41Z |
| dc.title.none.fl_str_mv |
Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha |
| title |
Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha |
| spellingShingle |
Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha Lamas Oliveira, Cristina Adrenal incidentalomas Feocromocitoma Hiperaldosteronismo primario Incidentalomas suprarrenales Pheochromocytoma Primary aldosteronism Síndrome de Cushing subclínico Subclinical Cushing syndrome |
| title_short |
Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha |
| title_full |
Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha |
| title_fullStr |
Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha |
| title_full_unstemmed |
Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha |
| title_sort |
Incidentalomas suprarrenales: experiencia clínica en los hospitales de Castilla-La Mancha |
| dc.creator.none.fl_str_mv |
Lamas Oliveira, Cristina Palma, Mercedes Martín, David Álvarez de Frutos, Visitación López, María Marco, Amparo |
| author |
Lamas Oliveira, Cristina |
| author_facet |
Lamas Oliveira, Cristina Palma, Mercedes Martín, David Álvarez de Frutos, Visitación López, María Marco, Amparo |
| author_role |
author |
| author2 |
Palma, Mercedes Martín, David Álvarez de Frutos, Visitación López, María Marco, Amparo |
| author2_role |
author author author author author |
| dc.subject.none.fl_str_mv |
Adrenal incidentalomas Feocromocitoma Hiperaldosteronismo primario Incidentalomas suprarrenales Pheochromocytoma Primary aldosteronism Síndrome de Cushing subclínico Subclinical Cushing syndrome |
| topic |
Adrenal incidentalomas Feocromocitoma Hiperaldosteronismo primario Incidentalomas suprarrenales Pheochromocytoma Primary aldosteronism Síndrome de Cushing subclínico Subclinical Cushing syndrome |
| description |
ObjectiveThe management of incidentally discovered adrenal masses (incidentalomas) remains controversial. Our objective was to describe the demographic and clinical characteristics of a series of patients with adrenal incidentalomas attended in several hospitals of Castilla-La Mancha, and their diagnostic and therapeutic management.Material and methodsData were obtained by reviewing the patients’ medical charts.ResultsA total of 270 patients were included (28.1% from Toledo, 25.9% from Albacete, 24.1% from Ciudad Real, 15.9% from Cuenca and 5.9% from Guadalajara). The mean age was 60.3 ± 12 and 53.3% were women. Overweight or obesity were found in 80.6%, hypertension in 55.8%, diabetes mellitus in 25.6%, impaired fasting glucose or impaired glucose tolerance in 15.6%, osteopenia in 31.5% and osteoporosis in 20.4%. These percentages were similar in patients with subclinical Cushing's syndrome. Diameter was less than 3 cm in 66% of the tumors, and more than 4 cm in 14.3%. Eighty-five percent of the tumors were detected by computed tomography. After a median follow-up of 28.8 months, 6% of nonfunctioning adenomas progressed to subclinical Cushing's syndrome, tumoral enlargement of more than 1 cm was found in 9.4% and a contralateral mass developed in 8.9%. Surgical adrenalectomy was performed in 14.4% of the patients.ConclusionsOur study confirms the favorable outcome in most patients with adrenal incidentalomas and contributes to a better understanding of this clinical entity. |
| publishDate |
2009 |
| dc.date.none.fl_str_mv |
2009 2024 2024 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10578/33329 |
| url |
https://hdl.handle.net/10578/33329 |
| dc.language.none.fl_str_mv |
Español |
| language_invalid_str_mv |
Español |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Elsevier |
| publisher.none.fl_str_mv |
Elsevier |
| dc.source.none.fl_str_mv |
reponame:RUIdeRA. Repositorio Institucional de la UCLM instname:Universidad de Castilla-La Mancha |
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Universidad de Castilla-La Mancha |
| reponame_str |
RUIdeRA. Repositorio Institucional de la UCLM |
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RUIdeRA. Repositorio Institucional de la UCLM |
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