title: Asymptomatic adrenal tumours: criteria for endoscopic removal.
abstract: OBJECTIVE
  Assessment of criteria for videoscopic removal of adrenal lesions discovered incidentally.
  
  
  METHODS
  Open prospective study.
  
  
  METHODS
  63 patients operated on for 65 adrenal tumours.
  
  
  METHODS
  Relevance of proposed criteria: secreting adrenal lesion; diameter larger than 4 cm or increase in size at any re-evaluation; computed tomogram of intratumoral necrosis, haemorrhage, or irregular margins; high concentrations of dehydroepiandrosterone (DHEAS).
  
  
  RESULTS
  Laparoscopic adrenalectomy was successful in 61 patients (97%). There were 4 minor complications. Criteria allowed us to identify correctly : phaeochromocytoma (n = 23), primary hyperaldosteronism (n = 18), Cushing's adenoma or disease (n = 7), single metastasis (n = 4), adenoma with DHEAS or cortisol hypersecretion (n = 3). 8 non-secreting incidental tumours (13%) were operated on.
  
  
  CONCLUSIONS
  Simple criteria for videoscopic adrenalectomy for lesions discovered incidentally allowed us to reduce the number of doubtful indications (positive predictive value 87%).
authors.affiliation: Mont-Godinne University Hospital (UCL), Yvoir, Belgium.
authors.forename: L A
authors.initials: LA
authors.lastname: Michel
authors.forename: L
authors.initials: L
authors.lastname: de Cannière
authors.forename: E
authors.initials: E
authors.lastname: Hamoir
authors.forename: G
authors.initials: G
authors.lastname: Hubens
authors.forename: M
authors.initials: M
authors.lastname: Meurisse
authors.forename: J P
authors.initials: JP
authors.lastname: Squifflet
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000601:surgery*; D000315:Adrenalectomy; D000328:Adult; D000368:Aged; D001530:Belgium; D002648:Child; D004724:Endoscopy; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D014741:Video Recording