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Evaluation and management of adrenal incidentaloma.

Authors
  • 1
  • 1 Section of Minimally Invasive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Type
Published Article
Journal
Journal of Surgical Oncology
1096-9098
Publisher
Wiley Blackwell (John Wiley & Sons)
Publication Date
Volume
106
Issue
5
Pages
557–564
Identifiers
DOI: 10.1002/jso.23161
PMID: 22623268
Source
Medline
License
Unknown

Abstract

Adrenal incidentaloma is the most common adrenal neoplasm encountered in clinical practice. The timely, accurate, and cost-effective evaluation and management of adrenal lesions found incidentally can be challenging for clinicians. Evaluation begins with biochemical screening and additional imaging. Management strategies vary by patient factors and tumor characteristics. Adrenalectomy is indicated for lesions that are hormonally active, larger than 4-5 cm, symptom-related, and have an imaging appearance that is atypical of a benign lesion.

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