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J Clin Outcomes Manage
2007 Jan;14(1):49-61
Approach to incidentally discovered adrenal masses
Copeland PM
Program Audience Primary care physicians Educational Needs Addressed Clinically inapparent adrenal masses discovered inadvertently in the course of diagnostic testing for non–adrenal-related causes are found on 1% to 5% of abdominal computed tomography scans. Although most adrenal “incidentalomas” are benign and hormonally inactive, it is vitally important to perform a proper diagnostic assessment in order to identify functional adrenal tumors and malignancies. At the same time, it is important to avoid unnecessary testing, with its attendant costs and risks to the patient. Improvements in the resolution of imaging techniques and the increased use of abdominal scans suggest that the prevalence the these tumors will continue to escalate. Educational Objectives After participating in this CME activity, primary care physicians should be able to 1. Know the causes and prevalence of clinically inapparent adrenal masses 2. Describe the approach to hormonal and radiologic evaluation 3. Know the indications and procedures for surgical management of these masses 4. Describe the appropriate follow-up for surgical and nonsurgical management
Case-Based Review, CME
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