2014, Number 3
PDF size: 116.38 Kb.
ABSTRACTAdrenal incidentaloma is at present one of the commonest diagnostic/therapeutic dilemmas in endocrinology. It mainly occurs in the 50 to 70 years age group and is associated to higher frequency of obesity, diabetes mellitus and blood hypertension. Its etiology is varied, but around 80% of them are benign non-functioning adenomas. Despite the above-mentioned, the occurrence of carcinoma (based on aggressiveness) and hormonal dysfunction (negative impact on some cardiovascular risk factors and on the osseous system) can make prognosis gloomy. The behavior to be adopted will consider the stated definitions: nature and function, and the most used variants are adrenal surgery (mainly laparoscopic, except for a tumor with imaging-based malignancy criteria) and conservative surgery that implies at least five-year follow-up of the patient. Knowledge about the characteristics of adrenal incidentaloma may support a best treatment for patients suffering incidental adrenal tumor and assure them a better quality of life.
Hamrahian A, Ioachimescu A, Remer E, Motta-Ramirez G, Bogabathina H, Levin HS, et al. Clinical utility of noncontrast computed tomography attenuation value (Hounsfield units) to differentiate adrenal adenomas/hyperplasias from non adenomas: Cleveland clinic experience. J Clin Endocrinol Metab. 2005;90:871-7.
Cui X, Yang L, Li J, Bu S,1 Wei Q, An Z, et al. Perioperative endocrine therapy for patients with Cushing’s syndrome undergoing retroperitoneal laparoscopic adrenalectomy. Inter J Endocrinol [serie en Internet]. 2012 Article ID 983965, doi:10.1155/2012/983965 [citado 4 de septiembre de 2014]. Disponible en: http://www.hindawi.com/journals