Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/9434
Title: Tuberculosis with adrenal insufficiency mimicking malignancy in FDG-PET images
Authors: Yaylalı, Güzin Fidan
Yaylalı, Olga
Yüksel, Doğangün
Topsakal, Şenay
Kabay, Burhan
Dursunoğlu, Neşe
Keywords: Adrenal insufficiency
Adrenal mass
FDG-PET
Malignancy
Tuberculosis
corticotropin
fluorodeoxyglucose f 18
hydrocortisone
metadrenalin
vanilmandelic acid
Addison disease
adrenal insufficiency
adrenal tuberculosis
adrenal tumor
adrenalectomy
adult
Article
case report
computer assisted tomography
corticotropin test
echography
granuloma
human
hyperkalemia
hyperplasia
hyponatremia
male
middle aged
neoplasm
pleurisy
positron emission tomography
prostatism
tuberculous pleurisy
whole body CT
Publisher: Nobelmedicus
Abstract: Addison’s disease may result from adrenal tuberculosis (TB), malignancy, idiopathic adrenal atrophy, blastomycosis or histoplasmosis. Thus, adrenal masses are often characterized by fluorine-18 fluoro-2-deoxy-D-glucose positron emission tomography (18F FDG-PET), which identifies tumors by their increased glucose metabolism. However, a large number of clinical conditions lead to false positives in PET, often related to inflammation or infection. Herein, we present a patient with adrenal insufficiency associated with bilateral masses and a history of TB. We identified elevated FDG uptake in both adrenal glands that could not be differentiated from primary bilateral adrenal lymphoma or other malignancies. Following adrenalectomy, a final diagnosis of adrenal TB was made. This uncommon case emphasizes that benign adrenal lesions can have increased FDG uptake leading to false-positive results. © 2016, Nobelmedicus. All rights reserved.
URI: https://hdl.handle.net/11499/9434
ISSN: 1305-2381
Appears in Collections:Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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