right adrenal nodule

I have a right adrenal nodule that meassure 2.6 x 1.4 cm in diagmeter with smooyh well defined border.Also found was a 2.9 cm in the greatest ap diameter intrarenal abdominal aortic aneurysm.I would like to know if anyone may have the same problem and what show be done?
thank you
tony

[HeinrikMD]

Hi,

Work-up for the adrenal nodule involves an investigation of the hormones that the adrenal gland produces. Weight gain, weakness, puffy cheeks, these are some effects of abnormally high or low adrenal masses. The best doctor to see is an endocrinologist. If the nodule is silent, it may only require monitoring as it is likely benign. Should it increase in size - biopsy or surgical removal should be considered to affect early detection. Usually cancers are at least 6 cm, biopsies/surgeries are generally considered for nodules of 4 cm.

I am more concerned with the aneurysm. I think you mean INFRA-renal aneurysm instead of INTRA-renal. Infrarenal refers to a location below the renal artery. Aneurysms carry a risk for rupture - and since this is the largest artery of the body - the consequences are catastrophic. If there are any symptoms attributed to this aneurysm - it may be better to undergo an operation. This is because the associated mortality for a planned operation is 1-2% only, if the operation is done as an emergency due to the rupture - the risk for death is 50%. If on the other hand - you don't feel anything - a 2.9 cm has a low 5 year risk of rupture - and hence some patients are followed up with regular ultrasound, and the surgery is contemplated if it is rapidly increasing or reaches 5 cm.

What was the reason you had the scan anyway?

[tonyvitor]

I was getting all of pain in my chest and my stomach so the doctor decided to do a full checkup and found it during a ultrasound,Because I was in out of the emerency room for 4 years or more I also have ulcers and gastric.

[HeinrikMD]

Hi,

I see. It isn't likely that the lesions are anything to worry about yet. I think it would still be important to monitor to make sure the areas do not represent malignancy or an aneurysm impending to rupture.

[tonyvitor]

they just found my aneurysm around a year ago. Could this give me more problems with my kidneys and back pain along my stomach.also what type of sysptoms come with a aneurysm in my abdominal aortic .why do they have to wait until 5 yrs.to do anything.
thank you
tony