PROBLEMS IN THE DIAGNOSIS OF SUBCLINICAL HYPERCORTICISM IN ADRENAL INCIDENTALOMAS


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Abstract

Subclinical hypercorticism (SH) is characterized by impaired cortisol secretion without specific clinical manifestations of hypercorticism. According to various sources, the prevalence of SH varies between 5-30% among patients with adrenal masses. Sixty-four patients with adrenal incidentalomas were examined; 11 of them were found to have SH. Surgery was performed in 1 patient. Based on the findings, the authors propose an algorithm for examination of patients with adrenal incidentalomas for SH.

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About the authors

A. Dreval

M.F. Vladimirsky Moscow Regional Clinical Research Institute

I. Komerdus

M.F. Vladimirsky Moscow Regional Clinical Research Institute

Candidate of Medical Sciences

A. Murzina

M.F. Vladimirsky Moscow Regional Clinical Research Institute

Email: anastasiya-murzina@mail.ru

R. Tishenina

M.F. Vladimirsky Moscow Regional Clinical Research Institute

G. Stashuk

M.F. Vladimirsky Moscow Regional Clinical Research Institute

L. Denisova

M.F. Vladimirsky Moscow Regional Clinical Research Institute

A. Platonova

M.F. Vladimirsky Moscow Regional Clinical Research Institute

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