In the modern era, the use of abdominal imaging has led to increased detection of adrenal lesions. ese are found incidentally during the work up of other problems and are thus de ned “incidentalomas”. e signi cance of these masses, as well as the optimal management approach to treatment, has sparked some debate regarding their evaluation and therapy. e authors reviewed the literature regarding the evaluation and management of these masses, particularly adrenal incidentalomas. Based on their institutional experience, they propose a diagnostic, evaluation, and management algorithm for treating adrenal masses. Radiological appearance and clinical picture should guide on how to perform the biochemical evaluation, keeping in mind that the presence of pheochromocytomas must always be excluded. Radiological evaluation by CT or MRI provides useful parameters to identify suspicious lesions. According to the majority of studies, surgery is recommended for masses that are larger than 5 cm in diameter or suspected of malignancy. Fine- needle aspiration biopsy should be used when other extra-adrenal malignancies are suspected and a er pheochromocytoma has been ruled out. Careful analysis and work up of each adrenal mass is crucial to e ectively avoid potential problem

Work up of Incidental Adrenal Mass

Buscarini M
2016-01-01

Abstract

In the modern era, the use of abdominal imaging has led to increased detection of adrenal lesions. ese are found incidentally during the work up of other problems and are thus de ned “incidentalomas”. e signi cance of these masses, as well as the optimal management approach to treatment, has sparked some debate regarding their evaluation and therapy. e authors reviewed the literature regarding the evaluation and management of these masses, particularly adrenal incidentalomas. Based on their institutional experience, they propose a diagnostic, evaluation, and management algorithm for treating adrenal masses. Radiological appearance and clinical picture should guide on how to perform the biochemical evaluation, keeping in mind that the presence of pheochromocytomas must always be excluded. Radiological evaluation by CT or MRI provides useful parameters to identify suspicious lesions. According to the majority of studies, surgery is recommended for masses that are larger than 5 cm in diameter or suspected of malignancy. Fine- needle aspiration biopsy should be used when other extra-adrenal malignancies are suspected and a er pheochromocytoma has been ruled out. Careful analysis and work up of each adrenal mass is crucial to e ectively avoid potential problem
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.12610/1594
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