Efficacy of PET-CT in the prediction of metastatic adrenal masses that are detected on follow-up of the patients with prior nonadrenal malignancy: A nationwide multicenter case-control study

dc.contributor.authorArikan, Akif Enes
dc.contributor.authorMakay, Ozer
dc.contributor.authorTeksoz, Serkan
dc.contributor.authorVatansever, Safa
dc.contributor.authorAlptekin, Husnu
dc.contributor.authorAlbeniz, Gurcan
dc.contributor.authorDemir, Ali
dc.contributor.authorOzpek, Adnan
dc.contributor.authorTunca, Fatih
dc.date.accessioned2023-02-21T12:40:41Z
dc.date.available2023-02-21T12:40:41Z
dc.date.issued2022-01-01
dc.description.abstractMetastasis is the second most common type of adrenal gland mass. In patients undergoing follow-up for nonadrenal malignancy, adrenalectomy is performed when metastasis to adrenal gland is suspected on the basis of positron emission tomography-computed tomography (PET-CT) imaging. This study investigated the efficacy of PET-CT in the discrimination of metastatic lesions from nonmetastatic lesions in the adrenal glands. In this multicentric study, data was collected from enrolled centers. Forty-one patients who underwent surgery for suspected adrenal metastases were evaluated retrospectively. The following data types were collected: demographic, primary tumor, maximum standardized uptake value of adrenal mass (a-SUVx) and detectability in computed tomography and/or magnetic resonance imaging, and specimen size and histopathology. Six patients were excluded due to unavailability of PET-CT reports and 4 for being primary adrenal malignancy. The rest were divided into 2 groups (metastatic: n = 17, 55\% and nonmetastatic: n = 14, 45\%) according to histopathology reports. There was no statistical difference between the analyzed values, except the a-SUVx (P < .05). The a-SUVx cutoff value was defined as 5.50 by receiver operating characteristic curves and compared with literature. There was no statistical difference when each group was divided as low and high (P > .05). It was found that PET-CT was able to discriminate metastatic lesions from primary benign lesions (P = .022). PET-CT can discriminate primary benign lesions and metastatic lesions by cutoff 5.5 value for a-SUVx.
dc.description.issue34
dc.description.issueAUG 26
dc.description.volume101
dc.identifier.doi10.1097/MD.0000000000030214
dc.identifier.urihttps://hdl.handle.net/11443/2641
dc.identifier.urihttp://dx.doi.org/10.1097/MD.0000000000030214
dc.identifier.wosWOS:000847532100057
dc.publisherLIPPINCOTT WILLIAMS \& WILKINS
dc.relation.ispartofMEDICINE
dc.subjectadrenal gland
dc.subjectdiagnosis
dc.subjectmetastasis
dc.subjectPET-CT
dc.titleEfficacy of PET-CT in the prediction of metastatic adrenal masses that are detected on follow-up of the patients with prior nonadrenal malignancy: A nationwide multicenter case-control study
dc.typeArticle

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