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Contents
  • Monitoring Size and Growth
  • Avoiding Biopsy Risks
  • Biochemical Monitoring

Preventing Complications from Adrenal Incidentalomas

Preventing Complications from Adrenal Incidentalomas

Why It Matters

Preventive measures can help manage adrenal incidentalomas and avoid complications, improving patient outcomes.
Contents
  • Monitoring Size and Growth
  • Avoiding Biopsy Risks
  • Biochemical Monitoring

Monitoring Size and Growth

Regular imaging is key to monitoring adrenal incidentalomas. If a mass grows by more than 1 cm, it may require surgical evaluation. Consistent follow-ups help catch malignant changes early.

Avoiding Biopsy Risks

Biopsies can pose risks like bleeding or infection. They should only be done if imaging strongly suggests cancer and after ruling out pheochromocytoma, which can cause dangerous reactions during biopsy.
A condition characterized by an unexpected adrenal mass discovered during imaging for other health issues. Preventive measures and monitoring are crucial to avoid complications.

Biochemical Monitoring

Regular hormone tests can prevent undetected hormone secretion. Annual tests for up to four years can catch changes early, allowing for timely intervention if needed.

FAQs

When should imaging be repeated?

Annual imaging is recommended for benign-appearing masses.

What risks do biopsies have?

Biopsies can cause bleeding and infections.

Is hormone testing important?

Yes, it detects changes in hormone secretion over time.

Wrapping Up

Monitoring and preventive measures are vital for managing adrenal incidentalomas.
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Additional References
  1. Grumbach MM, Biller BM, Braunstein GD, et al. Management of the clinically inapparent adrenal mass ('incidentaloma'). Ann Intern Med 2003; 138:424.
  2. Wilson MP, Randhawa S, Bao B, et al. Impact of Size Thresholds on the Diagnosis of Incidental Adrenal Lesions: A Systematic Review and Meta-Analysis. J Am Coll Radiol 2024; 21:107.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.