Key result
All adrenal lesions should prompt a functional hormonal assessment and additional imaging to determine malignancy, while laparoscopic approaches continue to evolve for functional and large lesions.
All adrenal lesions should prompt a functional hormonal assessment and additional imaging to determine malignancy.
May support endocrine evaluation of adrenal lesions; leaves open prospective validation of imaging and laparoscopic thresholds.
PURPOSE OF REVIEW: Adrenal lesions are commonly seen on modern imaging modalities, and although the majority are benign, potentially lethal entities necessitate exclusion. This group of both functional lesions and malignancies can produce an extensive variety of symptoms. The purpose of this review is to summarize recent advances in diagnosis and therapies for adrenal lesions. RECENT FINDINGS: New tumor markers and genetic risk factors continue to be discovered, and improved diagnostic techniques have made adrenal incidentalomas more common than ever before. Laparoscopic approaches for adrenal lesions continue to evolve for functional lesions, and also for lesions 12 cm and larger. Open adrenalectomy continues to be the most appropriate for adrenocortical cancer. SUMMARY: All adrenal lesions should prompt a functional hormonal assessment and additional imaging to determine malignancy employed.
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Turner et al. (2008) conducted a review in Adrenal lesions. Management of adrenal lesions was evaluated. All adrenal lesions should prompt a functional hormonal assessment and additional imaging to determine malignancy, while laparoscopic approaches continue to evolve for functional and large lesions.