An adrenal incidentaloma is a mass lesion greater than 1 cm in diameter, serendipitously discovered by radiologic examination [1]. This entity is the result of technological advances in imaging such as computed tomography (CT) and magnetic resonance imaging (MRI) and their widespread use in clinical practice.
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What is adrenal incidentaloma?
An adrenal incidentaloma is a mass lesion greater than 1 cm in diameter, serendipitously discovered by radiologic examination [1]. This entity is the result of technological advances in imaging such as computed tomography (CT) and magnetic resonance imaging (MRI) and their widespread use in clinical practice.
Do adrenal adenomas need follow up?
The ESE/ENSAT guidelines recommend a single follow-up test (non-contrast CT or magnetic resonance imaging) after 6 to 12 months for adrenal masses larger than 4 cm at diagnosis, or for adrenal masses with indeterminate characteristics, to exclude significant growth [2].
How common are adrenal incidentaloma?
Adrenal incidentalomas (AIs) are a common finding on cross-sectional abdominal images. In about 1-5% of all cases, abdominal computed tomography (CT) scans that are obtained for reasons other than the evaluation for possible adrenal neoplasm demonstrate an adrenal mass; most of these are AIs.
What are the symptoms of adrenal gland problems?
What are the symptoms of adrenal gland disorders?
- Upper body obesity, round face and neck, and thinning arms and legs.
- Skin problems, such as acne or reddish-blue streaks on the abdomen or underarm area.
- High blood pressure.
- Muscle and bone weakness.
- Moodiness, irritability, or depression.
- High blood sugars.
Can you live without an adrenal gland?
Humans cannot live without adrenal glands, so if both adrenal glands are removed (very rarely necessary), then the patient needs to take medications and supplements to provide the necessary hormones.
Can adrenal adenoma cause weight gain?
Some adrenal cancers, and even some benign adenomas, are functional and secrete excessive amounts of hormones. Approximately 60% of patients will experience symptoms because of these high levels of hormones in the blood. These symptoms include: Weight gain and fluid retention.
How do I know if my adrenal adenoma is functioning?
When an adrenal adenoma is found, a series of blood, urine or salivary tests are performed to assess hormone production. If the testing shows an overproduction of hormones, the care team may recommend removal of the affected adrenal gland, although the necessity of this surgery varies.