Adrenal Incidentaloma

Abstract

The vast majority of adrenal Incidentaloma are benign (cortical adenoma), non-secreting tumors. Most will not require surgery or follow-up. Unenhanced CT scan alone will characterize most lesions without the need for additional imaging. Simple ambulatory hormonal evaluation is adequate in most cases to exclude over secretion. Regarding the potential morbidity and mortality of malignant and/or secreting adrenal tumors, these diagnoses should not be missed. Patients should be referred to dedicated management and surgery teams if needed. MDT is mandatory to plan the optimal work up and management for these patients.