Management of Adrenal Incidentaloma
Adrenal incidentalomas are tumors of the adrenal gland discovered on imaging studies done for the purposes other than searching for adrenal pathology. Incidental adrenal nodules are discovered in up to 8% of all CT scans done for other purposes. As the use of cross-sectional imaging increases, so too is the incidence of incidentally discovered adrenal nodules.
The differential diagnosis is broad:
Although these nodules are discovered incidentally, and therefore asymptomatic, they do require further workup and surveillance because:
Therefore, each incidental adrenal nodule requires workup and surveillance to rule out primary or metastatic malignancy and to ensure the nodule is not hormonally active.
Key Questions when evaluating a patient with an incidentally discovered adrenal nodule:
The following are the first steps in evaluating any adrenal nodule:
When surgery is indicated, there are several minimally invasive approaches. The approach is tailored to each patient’s surgical history, tumor characteristics and patient preference.
Minimally Invasive Adrenalectomy:
For More Information
The Endocrine Surgeons at the University of Wisconsin provide state-of-the-art care for patients with incidental adrenal nodules regardless of whether they require surgery. Patients can be referred for complete evaluation and workup, or providers can contact the Endocrine Surgery team at (608) 236-1387 to discuss individual cases.
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