title: [Adrenal gland incidentaloma is not a "time bomb"--arguments for follow-up control].
abstract: Adrenal masses are nowadays more and more diagnosed incidentally. In the vast majority of cases these "incidentalomas" are benign adrenocortical adenomas which do not compel operative therapy. In about 12% of patients an endocrine activity is detected. With Increasing tumor size the risk of malignancy increases. This article summarizes recommendations, only to allow patients with endocrine activity or an increased risk of malignancy to be selected for surgery. A small uncertainty will always remain, but may be minimized by an individually tailored follow-up.
authors.affiliation: Abteilung Endokrinologie und Stoffwechsel, Medizinische Klinik l mit Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg.
authors.forename: J
authors.initials: J
authors.lastname: Hensen
authors.forename: I
authors.initials: I
authors.lastname: Harsch
authors.forename: R
authors.initials: R
authors.lastname: Sachse
authors.forename: M
authors.initials: M
authors.lastname: Pavel
authors.forename: A F
authors.initials: AF
authors.lastname: Rico
authors.forename: M
authors.initials: M
authors.lastname: Walter
authors.forename: S
authors.initials: S
authors.lastname: Stark
authors.forename: K M
authors.initials: KM
authors.lastname: Schrott
authors.forename: T
authors.initials: T
authors.lastname: Kirchner
authors.forename: C
authors.initials: C
authors.lastname: Wittekind
authors.forename: M
authors.initials: M
authors.lastname: Knoch
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000601:surgery*; D000315:Adrenalectomy; D018246:Adrenocortical Adenoma / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009384:Paraneoplastic Endocrine Syndromes / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome