Adrenal incidentaloma: report of 33 cases

Journal of Surgical Oncology
N B Tütüncü, O Gedik


The aim of our study was to review the imaging characteristics, endocrinologic screening and histologic diagnoses of adrenal incidentaloma cases encountered in our institute. Thirty-three adrenal incidentaloma cases that had been evaluated in Hacettepe University Hospital between 1985 and 1995 were reviewed retrospectively. Adrenal masses were discovered incidentally by abdominal ultrasonography (USG) and/or computed tomography (CT). Detailed endocrine evaluation was carried out to rule out a possible functioning mass. Among these incidentaloma cases, 2 silent Cushing syndrome (6.06%) cases, 6 silent pheochromocytoma (18.18%) cases, 2 adrenocortical carcinoma (6.06%) cases, and 2 metastatic masses (6.06%) were diagnosed. An optimal diagnostic approach to an adrenal incidentaloma would consider the results of the biochemical tests and a review of anatomical qualities depicted on CT or magnetic resonance imaging (MRI) while taking into account the previous clinical epidemiologic data.


Nov 15, 1990·The New England Journal of Medicine·N S Ross, D C Aron
Oct 15, 1988·Annals of Internal Medicine·M D GrossL P Sonda
Dec 1, 1994·The Journal of Clinical Endocrinology and Metabolism·G OsellaA Angeli
May 1, 1994·Journal of Computer Assisted Tomography·A R van ErkelT H Falke
Sep 1, 1993·Cleveland Clinic Journal of Medicine·W M Manger, R W Gifford


Feb 25, 2000·Current Opinion in Oncology·N N Hanna, D E Kenady
Apr 15, 2004·Endocrine Reviews·Georg MansmannStefan R Bornstein
Sep 12, 2000·Current Hypertension Reports·N N Hanna, D E Kenady
Mar 14, 2019·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Vincent AmodruFrederic Castinetti
Sep 25, 2002·Journal of Internal Medicine·B BülowSwedish Research Council Study Group of Endocrine Abdominal Tumours
Apr 9, 2020·Endocrine Reviews·Mark SherlockPaul M Stewart
Jun 24, 2006·Journal of Endocrinological Investigation·S TsagarakisN Thalassinos
Dec 20, 2002·Current Opinion in Oncology·Geoffrey B Thompson, William F Young

Related Concepts

Adenoma, Trabecular
Malignant Neoplasm of Adrenal Cortex
Adrenal Cancer
Cushing Syndrome
Magnetization Transfer Contrast Imaging
Pheochromocytoma, Extra-Adrenal
Retrospective Studies
Tomography, X-Ray Computerized Axial
Tomography, Ultrasonic

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