Clinically Inapparent Bilateral Adrenal Masses Due to Histoplasmosis
Abstract Detection of bilateral adrenal masses in any patient often presents a management dilemma. Despite extensive imaging, positron emission tomography (PET) scanning, and fine needle aspiration biopsy (FNAB), a definite diagnosis may not be reached. We report an unusual case of bilateral adrenal...
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| Veröffentlicht in: | European urology 2009-02, Vol.55 (2), p.518-521 |
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| creator | Narang, Vineet Sinha, Tapan Sandhu, Arjun S Karan, Shailesh C Srivastava, Ananad Sethi, Gurwinder S Talwar, Raghav Prusty, P Kotwal, Narinder Adlakha, Nirupam Aggarwal, Anil |
| description | Abstract Detection of bilateral adrenal masses in any patient often presents a management dilemma. Despite extensive imaging, positron emission tomography (PET) scanning, and fine needle aspiration biopsy (FNAB), a definite diagnosis may not be reached. We report an unusual case of bilateral adrenal mass diagnosed as histoplasmosis postoperatively and managed successfully by laparoscopy. Focus is placed on the role of laparoscopic adrenalectomy (LA) as a diagnostic and therapeutic tool in such patients. |
| doi_str_mv | 10.1016/j.eururo.2008.09.005 |
| format | Article |
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Despite extensive imaging, positron emission tomography (PET) scanning, and fine needle aspiration biopsy (FNAB), a definite diagnosis may not be reached. We report an unusual case of bilateral adrenal mass diagnosed as histoplasmosis postoperatively and managed successfully by laparoscopy. Focus is placed on the role of laparoscopic adrenalectomy (LA) as a diagnostic and therapeutic tool in such patients.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/j.eururo.2008.09.005</identifier><identifier>PMID: 18818011</identifier><identifier>CODEN: EUURAV</identifier><language>eng</language><publisher>Kidlington: Elsevier B.V</publisher><subject>Adrenal Gland Diseases - diagnostic imaging ; Adrenal Gland Diseases - etiology ; Adrenal Gland Diseases - pathology ; Adrenal Gland Diseases - surgery ; Adrenalectomy ; Antifungal Agents - therapeutic use ; Biological and medical sciences ; Fluorodeoxyglucose F18 ; Histoplasmoses ; Histoplasmosis ; Histoplasmosis - diagnosis ; Histoplasmosis - drug therapy ; Histoplasmosis - pathology ; Histoplasmosis - surgery ; Human mycoses ; Humans ; Inapparent adrenal mass ; Infectious diseases ; Itraconazole - therapeutic use ; Laparoscopy ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Mycoses ; Nephrology. Urinary tract diseases ; Positron-Emission Tomography ; Prednisolone - therapeutic use ; Spores, Fungal - isolation & purification ; Tomography, X-Ray Computed ; Treatment Outcome ; Tropical mycoses ; Urology</subject><ispartof>European urology, 2009-02, Vol.55 (2), p.518-521</ispartof><rights>European Association of Urology</rights><rights>2008 European Association of Urology</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-d1473a87ccaad1529e64288dc3fd28a3470f20216742d3d2a6bdecbc8717c1993</citedby><cites>FETCH-LOGICAL-c445t-d1473a87ccaad1529e64288dc3fd28a3470f20216742d3d2a6bdecbc8717c1993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0302283808011056$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21127076$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18818011$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Narang, Vineet</creatorcontrib><creatorcontrib>Sinha, Tapan</creatorcontrib><creatorcontrib>Sandhu, Arjun S</creatorcontrib><creatorcontrib>Karan, Shailesh C</creatorcontrib><creatorcontrib>Srivastava, Ananad</creatorcontrib><creatorcontrib>Sethi, Gurwinder S</creatorcontrib><creatorcontrib>Talwar, Raghav</creatorcontrib><creatorcontrib>Prusty, P</creatorcontrib><creatorcontrib>Kotwal, Narinder</creatorcontrib><creatorcontrib>Adlakha, Nirupam</creatorcontrib><creatorcontrib>Aggarwal, Anil</creatorcontrib><title>Clinically Inapparent Bilateral Adrenal Masses Due to Histoplasmosis</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>Abstract Detection of bilateral adrenal masses in any patient often presents a management dilemma. Despite extensive imaging, positron emission tomography (PET) scanning, and fine needle aspiration biopsy (FNAB), a definite diagnosis may not be reached. We report an unusual case of bilateral adrenal mass diagnosed as histoplasmosis postoperatively and managed successfully by laparoscopy. Focus is placed on the role of laparoscopic adrenalectomy (LA) as a diagnostic and therapeutic tool in such patients.</description><subject>Adrenal Gland Diseases - diagnostic imaging</subject><subject>Adrenal Gland Diseases - etiology</subject><subject>Adrenal Gland Diseases - pathology</subject><subject>Adrenal Gland Diseases - surgery</subject><subject>Adrenalectomy</subject><subject>Antifungal Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Fluorodeoxyglucose F18</subject><subject>Histoplasmoses</subject><subject>Histoplasmosis</subject><subject>Histoplasmosis - diagnosis</subject><subject>Histoplasmosis - drug therapy</subject><subject>Histoplasmosis - pathology</subject><subject>Histoplasmosis - surgery</subject><subject>Human mycoses</subject><subject>Humans</subject><subject>Inapparent adrenal mass</subject><subject>Infectious diseases</subject><subject>Itraconazole - therapeutic use</subject><subject>Laparoscopy</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycoses</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Positron-Emission Tomography</subject><subject>Prednisolone - therapeutic use</subject><subject>Spores, Fungal - isolation & purification</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Tropical mycoses</subject><subject>Urology</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUGL1TAQx4Mo7nP1G4j0orfWSdI26UVY36q7sOJBPYe8ZAp59jU10wrv25vyioIXTwPD7z8Mvz9jLzlUHHj79ljhkpYUKwGgK-gqgOYR23GtZKmaFh6zHUgQpdBSX7FnREcAkE0nn7IrrjXXwPmO3e6HMAZnh-Fc3I92mmzCcS7eh8HOmOxQ3Pi8yPOzJUIqbhcs5ljcBZrjNFg6RQr0nD3p7UD4YpvX7PvHD9_2d-XDl0_3-5uH0tV1M5ee10parZyz1vNGdNjWQmvvZO-FtrJW0AsQvFW18NIL2x48uoPTiivHu05eszeXu1OKPxek2ZwCORwGO2JcyOSg5qBlBusL6FIkStibKYWTTWfDwaz2zNFc7JnVnoHOZHs59mq7vxxO6P-GNl0ZeL0BlrKzPtnRBfrDCc6FAtVm7t2Fw2zjV8BkyAUcHfqQ0M3Gx_C_T_494LaefuAZ6RiXlEshww0JA-br2vRaNKxvQtPK3-awpAw</recordid><startdate>20090201</startdate><enddate>20090201</enddate><creator>Narang, Vineet</creator><creator>Sinha, Tapan</creator><creator>Sandhu, Arjun S</creator><creator>Karan, Shailesh C</creator><creator>Srivastava, Ananad</creator><creator>Sethi, Gurwinder S</creator><creator>Talwar, Raghav</creator><creator>Prusty, P</creator><creator>Kotwal, Narinder</creator><creator>Adlakha, Nirupam</creator><creator>Aggarwal, Anil</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090201</creationdate><title>Clinically Inapparent Bilateral Adrenal Masses Due to Histoplasmosis</title><author>Narang, Vineet ; Sinha, Tapan ; Sandhu, Arjun S ; Karan, Shailesh C ; Srivastava, Ananad ; Sethi, Gurwinder S ; Talwar, Raghav ; Prusty, P ; Kotwal, Narinder ; Adlakha, Nirupam ; Aggarwal, Anil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-d1473a87ccaad1529e64288dc3fd28a3470f20216742d3d2a6bdecbc8717c1993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adrenal Gland Diseases - diagnostic imaging</topic><topic>Adrenal Gland Diseases - etiology</topic><topic>Adrenal Gland Diseases - pathology</topic><topic>Adrenal Gland Diseases - surgery</topic><topic>Adrenalectomy</topic><topic>Antifungal Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Fluorodeoxyglucose F18</topic><topic>Histoplasmoses</topic><topic>Histoplasmosis</topic><topic>Histoplasmosis - diagnosis</topic><topic>Histoplasmosis - drug therapy</topic><topic>Histoplasmosis - pathology</topic><topic>Histoplasmosis - surgery</topic><topic>Human mycoses</topic><topic>Humans</topic><topic>Inapparent adrenal mass</topic><topic>Infectious diseases</topic><topic>Itraconazole - therapeutic use</topic><topic>Laparoscopy</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycoses</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Positron-Emission Tomography</topic><topic>Prednisolone - therapeutic use</topic><topic>Spores, Fungal - isolation & purification</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Tropical mycoses</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Narang, Vineet</creatorcontrib><creatorcontrib>Sinha, Tapan</creatorcontrib><creatorcontrib>Sandhu, Arjun S</creatorcontrib><creatorcontrib>Karan, Shailesh C</creatorcontrib><creatorcontrib>Srivastava, Ananad</creatorcontrib><creatorcontrib>Sethi, Gurwinder S</creatorcontrib><creatorcontrib>Talwar, Raghav</creatorcontrib><creatorcontrib>Prusty, P</creatorcontrib><creatorcontrib>Kotwal, Narinder</creatorcontrib><creatorcontrib>Adlakha, Nirupam</creatorcontrib><creatorcontrib>Aggarwal, Anil</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Narang, Vineet</au><au>Sinha, Tapan</au><au>Sandhu, Arjun S</au><au>Karan, Shailesh C</au><au>Srivastava, Ananad</au><au>Sethi, Gurwinder S</au><au>Talwar, Raghav</au><au>Prusty, P</au><au>Kotwal, Narinder</au><au>Adlakha, Nirupam</au><au>Aggarwal, Anil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinically Inapparent Bilateral Adrenal Masses Due to Histoplasmosis</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>55</volume><issue>2</issue><spage>518</spage><epage>521</epage><pages>518-521</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><coden>EUURAV</coden><abstract>Abstract Detection of bilateral adrenal masses in any patient often presents a management dilemma. Despite extensive imaging, positron emission tomography (PET) scanning, and fine needle aspiration biopsy (FNAB), a definite diagnosis may not be reached. We report an unusual case of bilateral adrenal mass diagnosed as histoplasmosis postoperatively and managed successfully by laparoscopy. Focus is placed on the role of laparoscopic adrenalectomy (LA) as a diagnostic and therapeutic tool in such patients.</abstract><cop>Kidlington</cop><pub>Elsevier B.V</pub><pmid>18818011</pmid><doi>10.1016/j.eururo.2008.09.005</doi><tpages>4</tpages></addata></record> |
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| subjects | Adrenal Gland Diseases - diagnostic imaging Adrenal Gland Diseases - etiology Adrenal Gland Diseases - pathology Adrenal Gland Diseases - surgery Adrenalectomy Antifungal Agents - therapeutic use Biological and medical sciences Fluorodeoxyglucose F18 Histoplasmoses Histoplasmosis Histoplasmosis - diagnosis Histoplasmosis - drug therapy Histoplasmosis - pathology Histoplasmosis - surgery Human mycoses Humans Inapparent adrenal mass Infectious diseases Itraconazole - therapeutic use Laparoscopy Magnetic Resonance Imaging Male Medical sciences Middle Aged Mycoses Nephrology. Urinary tract diseases Positron-Emission Tomography Prednisolone - therapeutic use Spores, Fungal - isolation & purification Tomography, X-Ray Computed Treatment Outcome Tropical mycoses Urology |
| title | Clinically Inapparent Bilateral Adrenal Masses Due to Histoplasmosis |
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