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Incidental adrenal masses - A primary care approach
Australian Family Physician
|June 14, 2017
Summary
Incidental adrenal masses, or incidentalomas, are common findings on CT scans. Evaluating these adrenal incidentalomas for function and malignancy is crucial for determining appropriate management and specialist referral.
Area of Science:
- Endocrinology
- Radiology
- Oncology
Background:
- Cross-sectional imaging frequently reveals incidental adrenal masses (incidentalomas).
- These incidentalomas pose diagnostic and management challenges for primary care physicians.
Purpose of the Study:
- To provide a framework for investigating and managing incidental adrenal masses.
- To guide physicians in evaluating adrenal incidentalomas.
Main Methods:
- Review of current literature and clinical guidelines.
- Framework development based on diagnostic criteria and management pathways.
Main Results:
- Adrenal incidentalomas occur in 3-4% of abdominal CT scans.
- Evaluation must assess functional status and malignant potential.
Conclusions:
- Appropriate evaluation of adrenal incidentalomas is essential.
- Management ranges from observation for benign lesions to surgical intervention for malignant or hormonally active tumors.
- Specialist referral is indicated for specific adrenal incidentaloma characteristics.
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