What is the role of computerized tomography (CT) scan and MRI in the evaluation of androgen excess?

Updated: Mar 14, 2018
  • Author: Mohamed Yahya Abdel-Rahman, MD, MSc; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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Answer

Adrenal pathology is suggested by significantly elevated DHEAS levels or abnormal 24-hour urine free cortisol. Women suspected of having an adrenal neoplasm should be further evaluated with either computerized tomography (CT) or MRI. Both techniques can usually differentiate between benign adenomas and malignant nodules of the adrenal gland. [71] CT can diagnose an adrenal nodule of less than 5 mm, whereas MRI can determine if a tumor has invaded into the blood vessels. [58]


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