Practical guide on the initial evaluation, follow-up, and treatment of adrenal incidentalomas. Adrenal Diseases Group of the Spanish Society of Endocrinology and Nutrition

Initial evaluation of adrenal incidentalomas (AIs) should be aimed at ruling out malignancy and functionality. For this, a detailed clinical history should be taken, and an adequate radiographic assessment and a complete blood chemistry and hormone study should be performed. The most controversial c...

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Bibliographic Details
Published in:Endocrinología, diabetes y nutrición. diabetes y nutrición., 2020-06, Vol.67 (6), p.408-419
Main Authors: Araujo-Castro, Marta, Iturregui Guevara, Marta, Calatayud Gutiérrez, María, Parra Ramírez, Paola, Gimeno, Paola Gracia, Hanzu, Felicia Alexandra, Oliveira, Cristina Lamas
Format: Article
Language:English
Subjects:
Adrenal incidentaloma
Adrenalectomy
Autonomous cortisol secretion
Dexamethasone suppression test
Incidentaloma adrenal
Secreción autónoma de cortisol
Suprarrenalectomía
Test de supresión con dexametasona
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Summary:Initial evaluation of adrenal incidentalomas (AIs) should be aimed at ruling out malignancy and functionality. For this, a detailed clinical history should be taken, and an adequate radiographic assessment and a complete blood chemistry and hormone study should be performed. The most controversial condition, because of the lack of consensus in its definition, is autonomous cortisol secretion (ACS). Our recommendation is that, except when cortisol levels
ISSN:2530-0180
2530-0180
DOI:10.1016/j.endien.2020.08.010