Table 3.
Imaging results of multiple endocrine neoplasia type 1 patients with Cushing’s syndrome.
Patient ID | Pituitary Imaging | Adrenal Imaging | Other |
---|---|---|---|
Cushing's Disease Group | |||
1 | Heterogeneous enlarged pituitary 12 X 12 X 15 mm | Normal | ND |
2 | Neg | ND | ND |
3 | Neg | 6 mm nodule; left adrenal | ND |
4 | Neg | Bilateral adrenal hyperplasia; possible nodular hyperplasia of right adrenal | ND |
5 | NA | NA | ND |
6 | Pituitary macroadenoma, with central necrosis, growing into left sphenoid sinus | Normal | Mass in pancreatic head |
7 | Multiple hypo-enhancing lesions on left, largest 4 mm; stalk deviation to right | 2 cm left adrenal nodule | 2 hepatic masses (a) |
8 | Neg | Bilateral adrenal hyperplasia | Right renal mass (b) |
9 | 2–3 mm hypo-enhancing lesion on left | Right adrenal nodule left adrenal thickening | None |
10 | Fullness on right, no focal lesion. | ND | 3 cm pancreatic mass |
11 | 5–6 mm hypointense lesion on left | 3 cm left adrenal nodule | None |
ACTH-independent Cushing's, Adrenal Tumor Group | |||
12 | Neg | 4 X 6 cm right adrenal mass | None |
13 | Neg | 5 cm right adrenal mass | None |
14 | ND | ND | ND |
Cushing's Syndrome from Unknown Etiology Group | |||
15 | Neg ( c) | NA (d) | NA (d) |
16 | 6 mm lesion on right | NA (d) | NA (d) |
17 | Poorly defined lesion on right | Enlarged, nodular left adrenal | Neg chest CT |
18 | 2–3 mm asymmetry on left | Slight bilateral hyperplasia | Multiple pulmonary nodules; small lesion in pancreatic tail |
19 | Neg | Diffuse bilateral nodular enlargement | Left pulm nodule vs. granuloma |
masses were surgically confirmed hepatic adenomas.
renal mass was confirmed surgically to be an angiomyolipoma.
sella turcica imaging studies (c. 1971) normal at an outside institution.
imaging studies while patient with Cushing’s syndrome performed prior to NIH evaluation and results not available.
Abbreviations: Neg, negative; NA, result or data not available; ND, not determined.