system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Adenoma, Adrenal Gland Neoplasms, Adrenal Glands, Adult, Carcinoma, Bronchogenic, Diagnosis, Differential, Evaluation Studies as Topic, Female, Gastrointestinal Neoplasms, Humans, Lung Neoplasms, Lymphoma, Male, Melanoma, Retrospective Studies, Sensitivity and Specificity, Tomography, X-Ray Computed.
user
Do [ Computerized tomography findings score in the differentiation of adrenal tumors in patients with extra-adrenal malignomas ]? Context: In a retrospective study the diagnostic accuracy of computed tomography for the differentiation of benign from malignant adrenal masses in patients with extra-adrenal malignancies was evaluated. For this differentiation a new score system was tested. Size, density, structure, and borders of adrenal masses in 60 patients with extra-adrenal tumours were analysed and scored. The single criteria and the total score values were correlated with the final diagnosis achieved either by histology or by follow-up CT examinations. Score values above 4 indicated always metastases and score values below 2 were benign lesions. An overlap occurred at score values between 2 and 3 resulting in an overall accuracy of 83.3%.
assistant
Single CT criteria are not reliable enough to differentiate benign from malignant adrenal lesions: better results are achieved by using our scoring system. Final Decision: yes