MDCT combined parameters in characterization of adrenal masses in cancer patients; A prospective study in South Egypt Cancer Institute


to evaluate the role of combined MDCT parameters in distinguishing benign from malignant adrenal masses in well known oncological patients.
  CT protocol included pre-contrast scan, venous and delayed contrast-enhanced scans assessing the mass size, pre contrast attenuation, histogram & post contrast absolute and relative percentage washout .Statistical analysis of the data was done.
  The study included 40 patients with 44 adrenal masses. Adrenal masses included 7 lipid rich, 6 lipid poor adenomas, 7 neuroblastomas and 24 metastases. Combined CT parameters including the size (2.25 cm as cut off value), pre contrast attenuation value (Conclusion:
  Combining the studied CT parameters yielded a powerful diagnostic protocol in distinguishing benign from malignant adrenal masses.