PAUL M. COPELAND, M.D.
With the wider application of increasingly sensitive computed tomographic scans, more adrenal masses will be discovered incidentally. Because benign lesions of the adrenal are much commoner than malignant ones, an approach is needed to determine which incidentally discovered masses should be removed. The history and physical examination may guide the evaluation. Imaging studies and needle biopsies have limited value. If the history and physical findings do not suggest a diagnosis, an approach using the size of the mass, results of any cyst puncture, and a biochemical assessment may determine which patients should have surgery. This approach is based on the relative prevalences of benign and malignant clinically silent adrenal tumors.
COPELAND PM. The Incidentally Discovered Adrenal Mass. Ann Intern Med. ;98:940–945. doi: 10.7326/0003-4819-98-6-940
Download citation file:
Published: Ann Intern Med. 1983;98(6):940-945.
Adrenal Disorders, Endocrine and Metabolism, Endocrine Cancer, Hematology/Oncology.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use