PMID- 21162898 OWN - NLM STAT- MEDLINE DCOM- 20110728 LR - 20101217 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 90 IP - 38 DP - 2010 Oct 19 TI - [Adrenal lesions in patients of multiple endocrine neoplasia type 1]. PG - 2689-92 AB - OBJECTIVE: To investigate the prevalence and characteristics of adrenal lesions in Chinese multiple endocrine neoplasia type 1 (MEN-1) patients. METHODS: Adrenal CT scan and clinical manifestations were retrospectively reviewed in 32 consecutive MEN-1 patients who were evaluated at our hospital during January 1986 to December 2009. RESULTS: Adrenal lesions were identified in 16 of 32 (50%) MEN-1 patients. Five (31.3%) patents with adrenal involvement showed bilateral lesions, including bilateral adenoma (n=1), bilateral hyperplasia (n=2) and adenoma and hyperplasia on each side (n=2). Unilateral adrenal lesion was presented in 11 (68.7%) patients. Among which, 63.6% had adenomas with a mean diameter of 2.3 cm (0.8-4.0 cm) and the remainder was of hyperplasia or enlargement. In two patients, functioning adrenal abnormalities were detected including Cushing adenoma (n=1) and aldosterone-secreting adenoma (n=1). CONCLUSIONS: The prevalence of adrenal lesion in MEN-1 patient is similar between China and western countries. These tumors are mostly benign, small and nonfunctioning. Taking into account a high incidence of adrenal carcinoma in previous foreign studies, routine screening and close surveillance are still recommended for adrenal lesions in MEN-1 patients. FAU - Zhu, Yan AU - Zhu Y AD - Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China. FAU - Zhang, Hua-bing AU - Zhang HB FAU - Lu, Lin AU - Lu L FAU - Li, Nai-shi AU - Li NS FAU - Fu, Yong AU - Fu Y FAU - Wang, Ou AU - Wang O FAU - Xu, Ling-ling AU - Xu LL FAU - Jiang, Yan AU - Jiang Y FAU - Tong, An-li AU - Tong AL FAU - Zhu, Hui-juan AU - Zhu HJ FAU - Li, Wei AU - Li W FAU - Hu, Ming-ming AU - Hu MM FAU - Yu, Miao AU - Yu M FAU - Mao, Jiang-feng AU - Mao JF FAU - Yuan, Tao AU - Yuan T FAU - Li, Mei AU - Li M FAU - Xia, Wei-bo AU - Xia WB FAU - Xing, Xiao-ping AU - Xing XP LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 SB - IM MH - Adrenal Glands/*pathology MH - Adult MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/diagnosis/*pathology MH - Retrospective Studies MH - Young Adult EDAT- 2010/12/18 06:00 MHDA- 2011/07/29 06:00 CRDT- 2010/12/18 06:00 PHST- 2010/12/18 06:00 [entrez] PHST- 2010/12/18 06:00 [pubmed] PHST- 2011/07/29 06:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2010 Oct 19;90(38):2689-92.