Advance in diagnosis and treatment of adrenal incidentalomas
LI Tuo
SHI Yong-quan
Abstract：The detection rate of adrenal incidentalomas is increasing annually.AI needs multidisciplinary diagnosis and treatment,and the nature and endocrinological level must be evaluated.There is no clinical symptom in most AI patients.Therefore,the imaging and endocrine function tests have great roles.Imaging with an adrenal mass below 4cm in size with CT＜ 10Hu suggests clear benign feature.The 1-mg overnight dexamethasone suppression test (1 mg DST) for all patients with newly diagnosed AI suggests a normal hormonal secretion (i.e.,1 mg DST ＜ 1.8 mg DST).Molecular biology methods are of great value in the choice of treatment options and prognostic evaluation.Other adjuvant therapies need further studies.In conclusion,the diagnosis and treatment on AI meet multidisciplinary assessment.We suggest biochemical and morphological follow-up for A1 patients at least every 5 years.
Keywords：adrenal massincidentalomadiagnosistreatment
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 875-880 )