LATE DIAGNOSIS of ADRENAL NEOPLASMS: WHAT IS the REASON?
The objective of the research was to study clinical manifestations and features of adrenal neoplasms. The study included 282 patients with adrenal gland formations (169 (59.9%) women, 113 (40.1%) men). The age of patients at the time of the first visit to the clinic ranged from 4 months to 74 years old, with average 39.8 ± 15.7. To achieve the set goal, we carefully studied the manifest signs of the disease, complaints, the connection of the disease with something, the patient's personal and family history, including risk factors, clinical and laboratory signs of hormonal activity, and lesions of target organs (heart, eyes, kidneys). The variety of clinical symptoms of the manifest accompanying neoplasms of adrenal glands, including hypertension (which occurs in 52.5% of the cases), delayed the timely diagnosis, since most patients had previously sought medical help from doctors of different specialties, while only 18.8% of the patients initially applied to an endocrinologist.