Adrenal incidentaloma follow-up is influenced by patient, radiologic, and medical provider factors: A review of 804 cases

Surgery
Dominic I MaherJames C Lee

Abstract

The majority of adrenal incidentalomas are benign, although some are large, functional, or malignant and may require surgery. Therefore all require follow-up. This study aimed to determine the pattern of adrenal incidentaloma follow-up in a level 1 trauma center, focusing on the factors that influence whether follow-up is facilitated. Patients with computed tomography-detected adrenal incidentalomas between January 2010 and September 2015 were included. A keyword search identified case files, which were reviewed for demographic characteristics, managing unit, computed tomography indication and findings, and follow-up arrangements. Statistical analysis was performed using Stata SE Version 14. A total of 38,848 chest and abdominal computed tomographic scans were performed in the study period, revealing 804 patients with adrenal incidentalomas who met inclusion criteria (mean age 65, 58% male). The mean size of adrenal incidentaloma was 23 mm. Follow-up was organized in 30% of cases and was more likely to occur in younger patients (mean age 62 vs 66, P < .001); in larger lesions (mean size 26 mm vs 21 mm, P < .001); if the computed tomographic scan suggested follow-up (P < .001); or if the computed tomography report suggested a di...Continue Reading

Citations

Dec 4, 2019·Ultrasonography·Christoph F DietrichChristian Jenssen
Apr 9, 2020·Endocrine Reviews·Mark SherlockPaul M Stewart
Apr 4, 2021·American Journal of Surgery·Stephanie D TalutisFrederick Thurston Drake
Jan 21, 2020·Experimental and Clinical Endocrinology & Diabetes : Official Journal, German Society of Endocrinology [and] German Diabetes Association·Nusret YilmazMustafa Kemal Balci
Jul 11, 2021·American Journal of Surgery·Jessica WatariAmanda M Laird
Sep 12, 2021·The Journal of Surgical Research·Timothy FeeneyFrederick Thurston Drake

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