Key result
Improved radiological techniques accurately identify lipid-rich adenomas to tailor adrenal incidentaloma evaluation and follow-up.
Why the study?
There is a lack of consensus on the mode and extent of evaluation and follow-up of adrenal incidentalomas despite their common occurrence.
This review provides a practical outline for the investigation and follow-up of adrenal incidentalomas based on recent evidence.
Subclinical excess in adrenal incidentalomas signals potential morbidity; leaves open consensus on evaluation and follow-up protocols.
PURPOSE OF REVIEW: Adrenal incidentalomas are common in this era of ubiquitous imaging. There is a lack of consensus on the mode and extent of evaluation, and follow-up of adrenal incidentalomas. RECENT FINDINGS: There is increasing evidence of morbidity associated with subclinical hormone excess from functioning adrenal masses. Improved radiological techniques and interpretation have helped identify lipid-rich adenomas more accurately and tailor the evaluation of adrenal incidentalomas. SUMMARY: A practical outline in the investigation and follow-up of adrenal incidentalomas incorporating the recent evidence is presented.
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Kannan et al. (2013) conducted a review in Adrenal incidentalomas. Evaluation and follow-up strategies was evaluated. Improved radiological techniques and interpretation have helped identify lipid-rich adenomas more accurately, allowing for tailored evaluation and follow-up of adrenal incidentalomas.
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