[Therapeutic concept in incidentaloma of the adrenal gland].
The operative approach to adrenal incidentalomas depends on the subclinical hormoneactivity and the risk of malignancy. In our 18 patients there were two pheochromocytomas (3 and 5 diameter), one with subclinical hormoneactivity and three malignancies, an adrenocortical carcinoma, a metastasis without primary and a lymphoma. The malignant tumors were larger than 5 cm. As tumors smaller than 3 cm are usually benign they should be observed. Because of the risk of malignancy there is a relative indication to operate on larger tumors.
Waldner
H
H
Chirurgische Klinik Innenstadt, Ludwig Maximilians Universität München.
Wilker
D
D
Izbicki
J
J
Kenn
R
R
D000310:Adrenal Gland Neoplasms / Q000473:pathology* / Q000601:surgery*; D000311:Adrenal Glands / Q000473:pathology; D000315:Adrenalectomy; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000473:pathology* / Q000601:surgery*