The Addition of ¹⁸F-FDG PET/CT in the Assessment of Indeterminate Adrenal Incidentalomas

Scott Assen, Denise Chan and Janice L Pasieka

Department of Surgery, University of Calgary, Canada
Department of Radiology, University of Calgary, Canada

^*Correspondance to: Janice L Pasieka 

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Abstract:

Adrenal masses are common and their management has been the subject of some scrutiny. Initial workup consists of history and physical examination, biochemical evaluation, and imaging, typically using CT or MRI. Some lesions are convincingly benign-appearing on initial imaging and their management typically consists of routine follow-up or laparoscopic resection if the lesion is functional. Others possess imaging characteristics concerning for adrenal cortical carcinoma, such as size >4 cm, heterogeneity, central necrosis or calcifications. For lesions with one or more of these characteristics, the use of ¹⁸F-FDG PET/CT is currently unclear in the literature. We propose a novel algorithm utilizing PET/CT for the assessment of indeterminate adrenal masses. We recommend using PET/CT to distinguish lesions that can followed from those that can be resected endoscopic ally and those for which an open surgical approach should be used.

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Cite the Article:

Assen S, Chan D, Pasieka JL. The Addition of 18F-FDG PET/CT in the Assessment of Indeterminate Adrenal Incidentalomas. Clin Oncol. 2017;2: 1180.