title: [Therapeutic concept in incidentaloma of the adrenal gland].
abstract: 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.
authors.affiliation: Chirurgische Klinik Innenstadt, Ludwig Maximilians Universität München.
authors.forename: H
authors.initials: H
authors.lastname: Waldner
authors.forename: D
authors.initials: D
authors.lastname: Wilker
authors.forename: J
authors.initials: J
authors.lastname: Izbicki
authors.forename: R
authors.initials: R
authors.lastname: Kenn
mesh_terms: 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*