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Adrenal Cyst
Mitchell Tublin, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • "Adrenal cyst" is a descriptive term: Can mean true cyst, pseudocyst, or cystic mass

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Lattin GE Jr et al: From the radiologic pathology archives: Adrenal tumors and tumor-like conditions in the adult: radiologic-pathologic correlation. Radiographics. 34(3):805-29, 2014
                                      2. Kyoda Y et al: Adrenal hemorrhagic pseudocyst as the differential diagnosis of pheochromocytoma--a review of the clinical features in cases with radiographically diagnosed pheochromocytoma. J Endocrinol Invest. 36(9):707-11, 2013
                                      3. Ricci Z et al: Adrenal cysts: natural history by long-term imaging follow-up. AJR Am J Roentgenol. 201(5):1009-16, 2013
                                      4. Saadai P et al: The pathological features of surgically managed adrenal cysts: a 15-year retrospective review. Am Surg. 79(11):1159-62, 2013
                                      5. Sebastiano C et al: Cystic lesions of the adrenal gland: our experience over the last 20 years. Hum Pathol. 44(9):1797-803, 2013
                                      6. El-Hefnawy AS et al: Surgical management of adrenal cysts: single-institution experience. BJU Int. 104(6):847-50, 2009
                                      7. Chien HP et al: Adrenal cystic lesions: a clinicopathological analysis of 25 cases with proposed histogenesis and review of the literature. Endocr Pathol. 19(4):274-81, 2008
                                      8. Song JH et al: The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol. 190(5):1163-8, 2008
                                      9. Elsayes KM et al: Adrenal masses: MR imaging features with pathologic correlation. Radiographics. 24 Suppl 1:S73-86, 2004
                                      10. Guo YK et al: Uncommon adrenal masses: CT and MRI features with histopathologic correlation. Eur J Radiol. 62(3):359-70, 2007
                                      11. Sanal HT et al: Imaging features of benign adrenal cysts. Eur J Radiol. 60(3):465-9, 2006
                                      12. Akçay MN et al: Hydatid cysts of the adrenal gland: review of nine patients. World J Surg. 28(1):97-9, 2004
                                      13. Elsayes KM et al: Adrenal masses: MR findings with pathologic correlation. RadioGraphics 24: S73-S86; 2004
                                      14. Kawashima A et al: Imaging of nontraumatic hemorrhage of the adrenal gland. Radiographics. 19(4):949-63, 1999
                                      15. Neri LM et al: Management of adrenal cysts. Am Surg. 65(2):151-63, 1999
                                      16. Otal P et al: Imaging features of uncommon adrenal masses with histopathologic correlation. Radiographics. 19(3):569-81, 1999
                                      17. Kawashima A et al: Spectrum of CT findings in nonmalignant disease of the adrenal gland. Radiographics. 18(2):393-412, 1998
                                      18. Rozenblit A et al: Cystic adrenal lesions: CT features. Radiology. 201(2):541-8, 1996
                                      19. Tung GA et al: Adrenal cysts: imaging and percutaneous aspiration. Radiology. 173(1):107-10, 1989
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Definitions

                                                • "Adrenal cyst" is a descriptive term: Can mean true cyst, pseudocyst, or cystic mass

                                              IMAGING

                                              • General Features

                                                • CT Findings

                                                  • MR Findings

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Lattin GE Jr et al: From the radiologic pathology archives: Adrenal tumors and tumor-like conditions in the adult: radiologic-pathologic correlation. Radiographics. 34(3):805-29, 2014
                                                                          2. Kyoda Y et al: Adrenal hemorrhagic pseudocyst as the differential diagnosis of pheochromocytoma--a review of the clinical features in cases with radiographically diagnosed pheochromocytoma. J Endocrinol Invest. 36(9):707-11, 2013
                                                                          3. Ricci Z et al: Adrenal cysts: natural history by long-term imaging follow-up. AJR Am J Roentgenol. 201(5):1009-16, 2013
                                                                          4. Saadai P et al: The pathological features of surgically managed adrenal cysts: a 15-year retrospective review. Am Surg. 79(11):1159-62, 2013
                                                                          5. Sebastiano C et al: Cystic lesions of the adrenal gland: our experience over the last 20 years. Hum Pathol. 44(9):1797-803, 2013
                                                                          6. El-Hefnawy AS et al: Surgical management of adrenal cysts: single-institution experience. BJU Int. 104(6):847-50, 2009
                                                                          7. Chien HP et al: Adrenal cystic lesions: a clinicopathological analysis of 25 cases with proposed histogenesis and review of the literature. Endocr Pathol. 19(4):274-81, 2008
                                                                          8. Song JH et al: The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol. 190(5):1163-8, 2008
                                                                          9. Elsayes KM et al: Adrenal masses: MR imaging features with pathologic correlation. Radiographics. 24 Suppl 1:S73-86, 2004
                                                                          10. Guo YK et al: Uncommon adrenal masses: CT and MRI features with histopathologic correlation. Eur J Radiol. 62(3):359-70, 2007
                                                                          11. Sanal HT et al: Imaging features of benign adrenal cysts. Eur J Radiol. 60(3):465-9, 2006
                                                                          12. Akçay MN et al: Hydatid cysts of the adrenal gland: review of nine patients. World J Surg. 28(1):97-9, 2004
                                                                          13. Elsayes KM et al: Adrenal masses: MR findings with pathologic correlation. RadioGraphics 24: S73-S86; 2004
                                                                          14. Kawashima A et al: Imaging of nontraumatic hemorrhage of the adrenal gland. Radiographics. 19(4):949-63, 1999
                                                                          15. Neri LM et al: Management of adrenal cysts. Am Surg. 65(2):151-63, 1999
                                                                          16. Otal P et al: Imaging features of uncommon adrenal masses with histopathologic correlation. Radiographics. 19(3):569-81, 1999
                                                                          17. Kawashima A et al: Spectrum of CT findings in nonmalignant disease of the adrenal gland. Radiographics. 18(2):393-412, 1998
                                                                          18. Rozenblit A et al: Cystic adrenal lesions: CT features. Radiology. 201(2):541-8, 1996
                                                                          19. Tung GA et al: Adrenal cysts: imaging and percutaneous aspiration. Radiology. 173(1):107-10, 1989