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ENDO doubt - pursuitof99
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02-15-2010, 05:25 PM
25 year old male on ct abdo 2 cm adrenal mnodule detected...pt completely asymptomatic...nodule in nonfunctional...ct shows hypodense nodule with smooth border feature?what to do next?
(1)assure pt that nodule is benign (2)serial Ct 6 monthly....FOR 3 YEARS (3)FNAC (4)open biospy
02-15-2010, 05:30 PM
i wud think 2...
most likely benign, smooth border, nonfunctional... just moniter him regularly...
02-15-2010, 05:35 PM
ya i have doubt between 1 and 2...in kaplan Q bank answer is 1....but i read that if bening nonfunctional nodule follow up with CT 6 monthsly,periodic endocrine evaluation is necessary as hormonal excess can develop over a period of time...
02-15-2010, 05:37 PM
its probably one of those questions...they wud put to see the statistics part of usmle...i dont think it wud count.
i mean they both make sense...maybe answer is 1...because..it is very less likely he is gonna get a cancer or tumour out of it, andt hey dont want to waste in insurances money...hmm, lets see what others think.. thrombolyser, plz put ur reasoning behind it ..s4ck
02-16-2010, 03:10 AM
the answer is 1.
its called 'incidentaloma' .. no risk of malignancy |
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