Adrenal Mass Panel, 24 Hour, Urine
Use
Aiding in assessing malignancy in adrenal masses. May aid in improving diagnostic and prognostic prediction and dissect disease mechanisms, including diagnostic assessment and follow-up of adrenal cortical carcinoma, differential diagnostic assessment of adrenal tumors, and assessment related to Cushing syndrome, mild autonomous cortisol secretion, primary aldosteronism, inborn errors of steroidogenesis, and polycystic ovary syndrome. The test assists in determining whether an adrenal mass is benign or malignant by profiling urinary steroids.
Special Instructions
Not provided.
Limitations
The test should not be used for pediatric patients, and the risk assessments are based on adult populations. Test results cannot be used as absolute evidence for the presence or absence of malignant disease and should not form the sole basis for a diagnosis or treatment decision. It may be difficult to interpret results in pregnant women and in patients with severe liver or kidney function impairment. Risk assignments for other malignancies may not be as accurate as those for adrenal cortical carcinoma or adenoma.
Methodology
Mass Spectrometry (LC-MS/MS)
Biomarkers
LOINC Codes
- 95556-7 - Adrenal ca risk assess+ur steroid Pnl
- 63932-8 - Age at Dx
- 76691-5 - Gender identity
- 95557-5 - Detection basis Tumor
- 21889-1 - Size Tumor
- 95558-3 - CT attenuation of adrenal mass
- 95559-1 - Adrenal hormone excess 24h Ur Ql
- 13362-9 - Specimen collect Time Ur
- 3167-4 - Specimen vol 24h Ur
- 95787-8 - ACC Prob from clin data
- 95788-6 - Other adrenal malig Prob from clin data
- 95789-4 - Benign mass Prob from clin data
- 95790-2 - ACC Prob from clin+lab data
- 95791-0 - Other adrenal malig Prob clin+lab data
- 95792-8 - Benign mass Prob from clin+lab data
- 77202-0 - Laboratory comment Report
- 6705-8 - Androsterone 24h Ur-mRate
- 95560-9 - Androsterone 24h Z-score Ur
- 2268-1 - Etiocholanolone 24h Ur-mRate
- 95561-7 - Etiocholanolone 24h Z-score Ur
- 13612-7 - DHEA 24h Ur-mRate
- 95562-5 - DHEA 24h Z-score Ur
- 95563-3 - 16A OH-DHEA 24h Ur-mRate
- 95564-1 - 16A OH-DHEA 24h Z-score Ur
- 95565-8 - 5-Pregnenetriol 24h Ur-mRate
- 95566-6 - 5-Pregnenetriol 24h Z-score Ur
- 95567-4 - 5-Pregnenediol 24h Ur-mRate
- 95568-2 - 5-Pregnenediol 24h Z-score Ur
- 95569-0 - TH-11-corticosterone 24h Ur-mRate
- 95570-8 - TH-11-corticosterone 24h Z-score Ur
- 95571-6 - TH-DOC 24h Ur-mRate
- 95572-4 - TH-DOC 24h Z-score Ur
- 2834-0 - Pregnanediol 24h Ur-mRate
- 95573-2 - Pregnanediol 24h Z-score Ur
- 95574-0 - Deprecated 17A-OH-pregnanolone 24h Ur-mRate
- 95575-7 - 17OH-Preg 24h Z-score Ur
- 2836-5 - Pregntrl 24h Ur-mRate
- 95576-5 - Pregntrl 24h Z-score Ur
- 50643-6 - Pregntrlone 24h Ur-mRate
- 95577-3 - Pregntrlone 24h Z-score Ur
- 2996-7 - TH-DC 24h Ur-mRate
- 95578-1 - TH-DC 24h Z-score Ur
- 14158-0 - Cortis 24h Ur-mRate
- 95579-9 - Cortis 24h Z-score Ur
- 13611-9 - 6B-OH-Cortisol 24h Ur-mRate
- 95580-7 - 6B-OH-Cortisol 24h Z-score Ur
- 2995-9 - THF 24h Ur-mRate
- 95581-5 - THF 24h Z-score Ur
- 21044-3 - 5-A THF 24h Ur-mRate
- 95582-3 - 5-A THF 24h Z-score Ur
- 53634-2 - Beta cortol 24h Ur-mRate
- 95583-1 - Beta cortol 24h Z-score Ur
- 6701-7 - 11OH-Androst 24h Ur-mRate
- 95584-9 - 11OH-Androst 24h Z-score Ur
- 6700-9 - 11OH-Etioch 24h Ur-mRate
- 95585-6 - 11OH-Etioch 24h Z-score Ur
- 14044-2 - Cortisone 24h Ur-mRate
- 95586-4 - Cortisone 24h Z-score Ur
- 16116-6 - THcortisone 24h Ur-mRate
- 95587-2 - THcortisone 24h Z-score Ur
- 55906-2 - A-cortolone 24h Ur-mRate
- 95588-0 - A-cortolone 24h Z-score Ur
- 95589-8 - B-cortolone 24h Ur-mRate
- 95590-6 - B-cortolone 24h Z-score Ur
- 40867-4 - 11Ketoetioch 24h Ur-mRate
- 95591-4 - 11Ketoetioch 24h Z-score Ur
- 73884-9 - Steroid Fract 24h Ur-Imp
Result Turnaround Time
7-24 days
Related Documents
For more information, please review the documents below
Specimen
Urine
Volume
4 mL
Minimum Volume
2 mL
Container
Plastic urine tube
Collection Instructions
Collect urine for a full 24 hours and record the total volume. Do not add preservatives. Mix entire 24-hour collection well before aliquoting into a 5 mL plastic tube.
Storage Instructions
Ship specimens frozen.
Causes for Rejection
Preserved specimens will be canceled. Gross hemolysis and gross icterus are acceptable.
Stability Requirements
| Temperature | Period |
|---|---|
| Refrigerated | 14 days |
| Frozen | 90 days |
