Adrenal Disorders: 100 Cases from the Adrenal Clinic
Adrenal disorders are often difficult to diagnose due to common symptoms, and challenging to treat due to common comorbidities. Adrenal Disorders: 100 Cases from the Adrenal Clinic provides a comprehensive, case-based approach to the evaluation and treatment of both common and uncommon adrenal disorders, offering practical, real-world guidance highlighted by ultrasound scans, biopsy images, and tables.
Features 100 two-page cases covering a wide range of common and uncommon adrenal disorders.
Includes case report, investigations, treatment, and outcome for each case, plus a case overview with expert advice, take-home points, and references.
Organizes comprehensive content by type of disorder, including adrenal masses (benign and malignant), primary aldosteronism, ACTH-independent Cushing syndrome, ACTH-dependent Cushing syndrome, adrenal carcinoma, pheochromocytoma, adrenal and ovarian hyperandrogenism, and adrenal disorders in pregnancy.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Section A. Incidentally Discovered Adrenal Mass Case #1: 45-Year Old Woman with an Incidentally Discovered Large Adrenal Mass Case #2: Adrenal Mass in a Patient with History of Extra-adrenal Malignancy: the Role of Imaging Case #3: Incidentally Discovered Adrenal Mass in a Patient with History of Extra-adrenal Malignancy: the Role of Adrenal Biopsy Case #4: Nonfunctioning Lipid Rich Adrenocortical Adenoma-Role of Follow-up Case #5: 54-Year Old Woman with an Incidentally Discovered Adrenal Mass and Abnormal Dexamethasone Suppression Test: Role of Adrenalectomy Case #6: Lipid Poor Adrenal Masses-The Case for Aggressive Management Section B. Primary Aldosteronism Case #7: Primary Aldosteronism-When Adrenal Venous Sampling is not Needed Before Unilateral Adrenalectomy Case #8: Primary Aldosteronism with Unilateral Adrenal Nodule on Computed Tomography Case #9: Primary Aldosteronism with Bilateral Adrenal Nodules on Computed Tomography Case #10: Primary Aldosteronism Caused by Unilateral Adrenal Hyperplasia Case #11: Primary Aldosteronism in a Patient with Bilateral Macronodular Adrenal Hyperplasia and Associated Clinically Important Cortisol Co-secretion Case #12: Primary Aldosteronism in a Patient with an Adrenal Macroadenoma and Clinically Important Cortisol Co-secretion Case #13: Primary Aldosteronism in a Patient Treated with Spironolactone Case #14: Failed Catheterization of the Right Adrenal Vein-When Incomplete Adrenal Venous Sampling Data Can Be Used to Direct a Surgical Cure Case #15: Primary Aldosteronism: When Adrenal Venous Sampling Shows Suppressed Aldosterone Secretion From Both Adrenal Glands
Section C. ACTH-Independent Cushing Syndrome Case #16: 28-Year-Old Woman with Remote History of Adrenal Mass Presenting with New Onset Hypertension and Weight Gain Case #17: 26-Year-Old Woman with a Discrepant Work-up for Cushing Syndrome Subtype Case #18: 45-Year-Old Woman with Corticotropin-Independent Cushing Syndrome and Bilateral Adrenal Adenomas Case #19: Corticotropin-Independent Cushing Syndrome in a Patient with "Normal Adrenal Imaging Case #20: 66-Year-Old Woman with Corticotropin-Independent Hypercortisolism and Bilateral Macronodular Adrenal Hyperplasia Case #21: 35-Year-Old Woman with Low Bone Density and Fractures Case #22: Carney Triad (Pentad) and Adrenal Adenoma with Clinically Important Cortisol Secretory Autonomy
Section D. Adrenal Cortical Carcinoma and Oncocytic Neoplasm Case #23: Adrenal cortical carcinoma in a patient with history of adrenal incidentaloma Case #24: Unexpected Diagnosis of Adrenal Cortical Carcinoma: Role of Urinary Steroid Profiling Case #25: Oncocytic adrenocortical carcinoma Case #26: Mitotane therapy in the ENSAT Stage II Adrenocortical Carcinoma Case #27: Cortisol-Secreting Metastatic Adrenocortical Carcinoma-Role for Surgical Debulking of the Primary Tumor Case #28: Adrenocortical Carcinoma and Severe Cushing Syndrome Case #29: Pure Aldosterone-Secreting Adrenocortical Carcinoma Case #30: Long-standing Primary Aldosteronism in a Patient Diagnosed with Metastatic Adrenocortical Carcinoma Case #31: Adrenocortical Carcinoma Associated with Lynch Syndrome Case #32: Adrenocortical Carcinoma Associated with Multiple Endocrine Neoplasia Type 1 Case #33: Adrenocortical Carcinoma Presenting with Inferior Vena Cava Thrombus Case #34: Management of Mitotane Therapy in Adrenocortical Carcinoma
Section E. Pheochromocytoma and Paraganglioma Case #35: Most Pheochromocytomas Grow Slowly Case #36: The "Prebiochemical Pheochromocytoma Case #37: Huge Catecholamine-Secreting Tumor Case#38: Metyrosine Use in a Patient with Metastatic Pheochromocytoma Case #39: Pheochromocytoma in a Patient with Neurofibromatosis Type 1 Case #40: New Diagnosis of Multiple Endocrine Neoplasia Type 2A in a Patient with Bilateral Pheochromocytomas Case #41: Pheochromocytoma in a Patient with von Hippel Lindau Disease Case #42: Bilateral Pheochromocytoma in a Patient with MYC-associated Protein X (MAX) Genetic Predisposition Case #43: The Cystic Pheochromocytoma Case #44: Skull Base and Neck Paragangliomas-Considerations for the Endocrinologist Case #45: Cardiac Paraganglioma. Case #46: Pheochromocytoma in Multiple Endocrine Neoplasia Type 2B Case #47: Metastatic Paraganglioma-An Approach to Management and the Use Serial Imaging to Assess Rate of Tumor Progression Case #48: Metastatic Pheochromocytoma-Role for 68-Ga DOTATATE PET CT Case #49: Carney Triad (Pentad) and Catecholamine-Secreting Paragangliomas Case #50: Metastatic Paraganglioma-Role For Systemic Chemotherapy Case #51: Cryoablation Therapy for Metastatic Paraganglioma Case #52: Paraganglioma in a patient with cyanotic cardiac disease Case #53: Metastatic Paraganglioma-Role For External Beam Radiation Therapy
Section F. Corticotropin (ACTH)-Dependent Hypercortisolism Case #54: ACTH-Dependent Cushing Syndrome can be frequently misdiagnosed Case #55: ACTH-Dependent Cushing Syndrome-Role for Inferior Petrosal Sinus Sampling Case #56: ACTH-Dependent Cushing Syndrome-When Inferior Petrosal Sinus Sampling is Not Needed Case #57: Severe ACTH-Dependent Cushing Syndrome Due to a Pituitary Adenoma Ectopic Cushing Syndrome Associated with Multiple Endocrine Neoplasia Type 2B Case #59: Ectopic Cushing Syndrome Treated with Cryoablation Case #60: Cyclical Ectopic Cushing Syndrome Case #61: Mild Cushing Syndrome Associated with Ectopic Corticotropin Secretion Case #62: Bilateral Adrenal Cryoablation in Corticotropin-dependent Cushing Syndrome Case #63: Cushing Syndrome Associated with Ectopic Corticotropin and Corticotropin Releasing Hormone Secreting Pheochromocytoma Case #64: Cushing Syndrome in the Setting of Multiple Endocrine Neoplasia Type 1
Section G. Other Adrenal Masses Case #65: Adrenal Myelolipoma-A Computed Tomography Diagnosis Case #66: Adrenal Schwannoma Case #67: Trauma-Related Unilateral Adrenal Hemorrhage Case #68: Bilateral Adrenal Hemorrhage Case #69: Primary Adrenal Teratoma Case #70: The Adrenal Stone Case #71: Simple Adrenal Cyst Case #72: Adrenal Cystic Lymphangioma Case #73: Adrenal Hemangioma Case #74: Adrenal Ganglioneuroma Case #75: 42-Year-Old Woman with a Large Adrenal Mass Case #76: Primary Adrenal Leiomyosarcoma Case #77: Primary Adrenal Lymphoma Case #78. 39-Year-Old Man with a Large Adrenal Mass Case # 79: 59-Year-Old Man with Enlarging Bilateral Adrenal Masses Case # 80: 65-Year-Old Man with Primary Adrenal Insufficiency Case #81: 47-Year-Old Man with Primary Adrenal Insufficiency Case #82: Bilateral Adrenal Myelolipoma-Think of Congenital Adrenal Hyperplasia Case #83: A Unilateral Lipid Poor Adrenal Mass-An Atypical Presentation of Adrenal Histoplasmosis Case #84: Bilateral Macronodular Adrenal Hyperplasia (BMAH) in the Setting of Multiple Endocrine Neoplasia Type 1 Case #85: Pseudo-Adrenal Masses
Section H. Adrenal and Ovarian Hyperandrogenism Case #86: A Huge Adrenal Myelolipoma in a Patient with a Suboptimally Controlled Congenital Adrenal Hyperplasia Case #87: Balancing Glucocorticoid and Androgen Excess in Congenital Adrenal Hyperplasia Case #88: Dehydroepiandrosterone-sulfate (DHEA-S): The "Love it or "Hate it Hormone Case #89: Sorting out the Source of Androgen Excess in a Postmenopausal Woman with an Adrenal and an Ovarian Mass Case #90: Primary Testosterone-Secreting Adrenocortical Carcinoma in a Premenopausal Woman. Case #91: Premenopausal Woman with Testosterone-secreting Ovarian Tumor Case #92: Sorting out the Source of Androgen Excess in a Postmenopausal Woman with an Adrenal Mass Case #93: Testosterone-Secreting Benign Adrenal Adenoma in a Postmenopausal Woman
Section I. Adrenal Disorders in Pregnancy Case #94: Malignant Pheochromocytoma in Pregnancy Case #95: Catecholamine-Secreting Paraganglioma in Pregnancy Case #96: The Peripartum Diagnosis of Pheochromocytoma and a Genetic Mystery Solved Case #97. History of Pregnancy in a 41-Year-Old Woman with Undiagnosed Cushing syndrome Case #98: Pregnancy in a Patient with Primary Adrenal Insufficiency Case #99: Pregnancy in a Patient with 21-Hydroxylase Deficiency Case #100: Primary Aldosteronism in Pregnancy
By William F. Young, Jr., MD, Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Tyson Family Endocrinology Clinical Professor; Professor of Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota and Irina Bancos, MD, Associate Professor, Division of Endocrinology and Metabolism at the Mayo Clinic, Rochester, Minnesota
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