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DOI:10.2214/AJR.04.1751
AJR 2006; 187:W21-W24
© American Roentgen Ray Society

Clinical Observations

Adrenocortical Carcinoma: Contrast Washout Characteristics on CT

James M. A. Slattery1, Michael A. Blake1, Mannudeep K. Kalra2, Joseph Misdraji3, Ann T. Sweeney4, Paul M. Copeland5, Peter R. Mueller1 and Giles W. Boland1

1 Department of Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, 55 Fruit St., White 270C, Boston, MA 02114.
2 Department of Radiology, Emory University Hospital, Alanta, GA.
3 Department of Pathology, Massachusetts General Hospital, Boston, MA.
4 St. Elizabeth's Medical Center, Boston, MA 02135.
5 Endocrine Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA.

OBJECTIVE. The purpose of this study was to characterize pathologically proven adrenocortical carcinoma by examination of washout attenuation characteristics on contrast-enhanced CT images.

CONCLUSION. Adrenocortical carcinoma has relative contrast retention on delayed contrast-enhanced CT. All tumors in this series had a relative percentage washout less than 40%, a finding consistent with malignant disease.

Keywords: adrenal gland • adrenocortical carcinoma • cancer • CT • contrast washout


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