Contents
Treating Adrenal Incidentalomas: What Are Your Options?
Published: Oct 24, 2023
When faced with an adrenal incidentaloma, understanding your treatment options is crucial for effective management.
Surgical Intervention
Surgery is often recommended for adrenal masses larger than 4 cm or when there's suspicion of cancer. Laparoscopic surgery is less invasive and allows for quicker recovery. Open surgery might be necessary for larger or suspicious masses.
Managing Hormonal Secretion
If the mass secretes hormones, treatment focuses on managing these effects. For example, medications may be used to control hormone levels, or surgery may be required to remove the hormone-secreting mass.
When to Choose Monitoring
For masses that appear benign and are small, regular monitoring might be sufficient. This approach involves periodic imaging to ensure the mass doesn't grow or change in a way that would require intervention.
Frequently Asked Questions
For masses over 4 cm or suspected cancer.
Medications or surgery can manage hormone secretion.
Yes, for small, benign-appearing masses.
Key Takeaways
Choosing the right treatment depends on the mass's size, function, and growth.
References
- Yip L, Duh QY, Wachtel H, et al. American Association of Endocrine Surgeons Guidelines for Adrenalectomy: Executive Summary. JAMA Surg 2022; 157:870.
- Fassnacht M, Arlt W, Bancos I, et al. Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors. Eur J Endocrinol 2016; 175:G1.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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