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Adrenal tuberculosis mimicking a malignancy by direct hepatic invasion: emphasis on adrenohepatic fusion as the potential route

Authors
 Yeun Yoon Kim  ;  Sung Yoon Park  ;  Young Taik Oh  ;  Dae Chul Jung 
Citation
 Clinical Imaging, Vol.39(5) : 911-913, 2015 
Journal Title
 Clinical Imaging 
ISSN
 0899-7071 
Issue Date
2015
MeSH
Adrenal Gland Diseases/diagnosis* ; Adrenal Gland Diseases/microbiology ; Adrenal Gland Diseases/surgery ; Adrenal Gland Neoplasms/diagnosis ; Adrenal Glands/microbiology* ; Adrenal Glands/surgery ; Adrenalectomy/methods* ; DNA, Bacterial/analysis ; Diagnosis, Differential ; Female ; Humans ; Laparoscopy/methods ; Liver Neoplasms/diagnosis ; Middle Aged ; Mycobacterium tuberculosis/genetics ; Mycobacterium tuberculosis/isolation & purification* ; Positron-Emission Tomography/methods* ; Tomography, X-Ray Computed/methods* ; Tuberculosis, Endocrine/diagnosis* ; Tuberculosis, Endocrine/microbiology ; Tuberculosis, Endocrine/surgery
Keywords
Adrenal tuberculosis ; Adrenohepatic fusion ; Computed tomography ; Hepatic invasion
Abstract
A 64-year-old female with primary adrenal insufficiency presented with a right adrenal mass showing quantitative nonadenoma features on dedicated adrenal computed tomography (CT). CT showed direct invasion of the mass to the adjacent hepatic parenchyma, and high uptake was noted on 18F-fluorodeoxyglucose positron emission tomography/CT. Laparoscopy revealed gross invasion of the adrenal lesion into the liver, which led to the en bloc resection including the involved liver. Polymerase chain reaction analysis of the surgical specimen revealed adrenal tuberculosis.
Full Text
http://www.sciencedirect.com/science/article/pii/S0899707115001114
DOI
10.1016/j.clinimag.2015.04.019
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yeun-Yoon(김연윤) ORCID logo https://orcid.org/0000-0003-2018-5332
Park, Sung Yoon(박성윤)
Oh, Young Taik(오영택) ORCID logo https://orcid.org/0000-0002-4438-8890
Jung, Dae Chul(정대철) ORCID logo https://orcid.org/0000-0001-5769-5083
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141165
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