Adrenal Incidentaloma
Conditions
Keywords
adrenal incidentaloma, BMI, NFAI, MACE, long term follow up, natural history
Brief summary
The data on long term natural history of benign nonfunctioning adrenal tumors (NFATs) are lacking. The aim is to identify clinical characteristics associated with tumor growth and progression to mild autonomous cortisol excess over time.
Detailed description
After being informed about the study, all patients with NFAT given written informed consent will underwent a control visit approximatly 10 years after initial visit at the outpateint clinic at the Department of Endocrinology, Diabetes and Metabolic Disease, University Medical Center Ljubljana, Ljubljana, Slovenia. The included patients will be divided in three groups regarding the BMI as follows: BMI \< 25 kg/m2, 25-30 kg/m2 and \> 30 kg/m2. The investigators will assess clinical, and laboratory parameters and CT findings at the follow up visit and compere them to baseline characteristics.
Interventions
CT of abdomen
Sponsors
Study design
Eligibility
Inclusion criteria
\- Patients hospitalized because of NFAI between 2005-2012 at the Department of Endocrinology, Diabetes and Metabolic Disease, University Medical Center Ljubljana, Ljubljana, Slovenia.
Exclusion criteria
* age below 18 years * relatives reported that patient died in the time since hospitalization * patient did not want a follow up * patient did not attend follow up appointment * patient underwent adrenalectomy * misdiagnosis / missing main information in hospitalization record
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Natural History of NFAT - horomnal activity | 10 years | To determine if and in how many pateints NFAI progressed to MACE. NFAI: when cortisol after 1 mg overnight dexamethasone (ODST) suppression test is \< 50 nmol/l and no typical clinical signs of Cushing's syndrome are present. Pheochromocytoma and primary aldosteronism will be excluded. MACE: when cortisol after 1 mg overnight dexamethasone (ODST) suppression test is \> 50 nmol/l. |
| Natural History of NFAT - growth | 10 years | To determine the change in size of NFAI on the CT scan (mm). |
| Natural History of NFAT - BMI | 10 years | To determine the change in BMI and its correlation with outcome 1 and 2. Weight and height will be combined to report BMI in kg/m\^2. |
Countries
Slovenia