How to detect adrenal tumors

The examination of adrenal tumors mainly includes imaging examinations, screening of related hormone levels and analysis of tumor properties. The doctor will comprehensively select the appropriate examination method based on the patient's specific symptoms and medical history to make a clear diagnosis and guide the next step of treatment.

1. Imaging examination

Imaging examination is the main means of diagnosing adrenal tumors.

CT computed tomography: High-resolution CT is an important tool for evaluating the size, location, and relationship of adrenal tumors with surrounding tissues. Its advantages are clear and rapid imaging.

MRI: Compared with CT, MRI is more suitable for distinguishing whether a tumor is benign or malignant, especially for differentiating differences in tissue density.

Ultrasound examination: The adrenal glands are located in the retroperitoneum and are not easy to observe directly with ordinary ultrasound. However, abdominal ultrasound can be used as a preliminary screening method, especially for detecting larger tumors.

Doctors often choose CT or MRI as the main method, while ultrasound is usually used for early screening.

2. Hormone level testing

Some adrenal tumors secrete abnormal hormones, leading to a series of metabolic disorders or endocrine symptoms. Routine tests include:

Cortisol levels in urine or blood: To rule out disorders such as Cushing syndrome.

Epinephrine and norepinephrine testing: Mainly used to diagnose the possibility of pheochromocytoma.

Aldosterone-to-renin ratio: used to assess primary aldosteronism.

3 Analysis of tumor properties

Determining whether a tumor is benign or malignant is the key to evaluating treatment strategies.

Puncture biopsy: It is used for histological analysis when the nature of the tumor is unclear. However, in the case of suspected pheochromocytoma, puncture may cause critical reactions and should be used with caution.

PET-CT: Combined with metabolic activity to determine whether malignant metastases are present.

These tests can help us understand the characteristics of adrenal tumors from multiple perspectives, but the final diagnosis and treatment must be combined with pathological examination and professional medical advice. After a clear diagnosis, you need to follow the doctor's advice for further treatment to avoid delaying the disease.