This retrospective study was approved by the local ethics committee. Between February 2013 and February 2020, we retrospectively retrieved all patients that were operated on for adrenalectomy and received a definitive diagnosis upon histopathological examination of PCCs at the University of Padova. Recruited patients had to present the following criteria: (1) be evaluated at our third-level referral hospital and have undergone adrenal contrast-enhanced CT, including unenhanced and contrast-enhanced scans, with at least 5 mm slice thickness for unenhanced scan and 3 mm slice thickness for arterial and venous phases scans; (2) have a complete panel of hormonal secretion; (3) have received a histopathologically confirmed diagnosis of PCC after adrenalectomy and, if possible, the evaluation of the PASS [8 (link)]. The only exclusion criteria were (1) poor-quality CT images and (2) motion or breathing artifacts.
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