H/o Adenocarcinoma

Chief Complaint A 69 y/o female with history of adenocarcinoma of rectum came for checkup. History 10 years back she had surgery for adenocarcinoma of the rectum. Investigation CT scan was done as a part of investigation which shows a left adrenal mass of 2.5 cm. Plasma aldosterone and cortisol level were normal. Treatment What further investigations and treatment should be done now?

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It's a nice case It a case of adrenal incidentaloma If it is not secretory, asymptomatic and non metastatic then it need not be treated Hormonal work up shows that it is non secretory PET CT can be done to see it's metabolic activity If it is inactive on PET CT then it can be left alone

NEED'S.. HISTOPATHOLOGICAL STUDY..BIOPSY.. MRI STUDY.. ONCOLOGISTS OPINION..

Tnx Dr Pranab Bera
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PET CT can be done to decide on metabolic activity.of the adrenal mass. If metabolically active, CT guided biopsy can be done .

Thank you, Dr Pranab Bera
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I am agree with@Dr. Jayesh Kalbhande Sir, Thank you@Dr. Kute Ankush Sir, and @Dr. Krishnan Pichumani Sir.

Adrenal incidentaloma

FNAC confirm from adrenal mass its met or not

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