title: [Adrenal incidentalomas].
abstract: Adrenal incidentalomas are found in approximately 2-3% of abdominal CT-scan examinations. A key issue is to determine whether the incidentaloma is neoplastic or responsible for endocrine hypersecretion, two situations in which surgical excision is recommended. Candidate incidentalomas for surgery include hypersecreting tumors (pheochromocytomas, Cushing's adenoma, Conn's adenoma) and adrenocortical carcinomas. The majority of adrenal incidentalomas are non-secreting cortical adenomas and lesions to remove account for less than 5% of adrenal incidentalomes. The pathological consequences of "subclinical" cortisol-secreting adenomas responsible for mild hypercortisolism and whether or not these tumors should be removed remain debatable.
authors.affiliation: CHU de Bordeaux, USN Haut-Levêque, service d'endocrinologie, diabète et nutrition, 1, avenue Magellan, 33604 Pessac cedex, France. Electronic address: antoine.tabarin@chu-bordeaux.fr.
authors.forename: Antoine
authors.initials: A
authors.lastname: Tabarin
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000556:secondary / Q000628:therapy*; D000311:Adrenal Glands / Q000473:pathology; D018246:Adrenocortical Adenoma / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D000465:Algorithms; D000728:Androgens / Q000097:blood; D003430:Cross-Sectional Studies; D003937:Diagnosis, Differential; D019788:Fluorodeoxyglucose F18; D005938:Glucocorticoids / Q000097:blood; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D008901:Mineralocorticoids / Q000097:blood; D049268:Positron-Emission Tomography; D011379:Prognosis; D011856:Radiographic Image Enhancement; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed
chemical_list: D000728:Androgens; D005938:Glucocorticoids; D008901:Mineralocorticoids; D019788:Fluorodeoxyglucose F18