title: [Hormonal evaluation of adrenal incidentalomas].
abstract: Imaging technological advances and widespread use of abdominal imaging have led to the identification of an increasing number of adrenal incidentalomas in the last decades. Causes of these adrenal masses are multiple, but the most common etiology is the non-functional adenoma. Although in most cases, these masses are benign and non-functional, clinicians have to perform biochemical testing for subclinical cushing's syndrome, pheochromocytoma or primary hyperaldosteronism. This screening is essential for their etiological diagnosis and therapeutic management. We report in this article the biological approach to detect secretory activity of adrenal incidentalomas and the diagnostic accuracy of the biochemical tests used.
authors.affiliation: Laboratoire de biochimie, CHU de Nantes-Hotel Dieu, Nantes, France.
authors.forename: Anne-Gaëlle
authors.initials: AG
authors.lastname: Le Loupp
authors.affiliation: Service d'endocrinologie, CHU de Nantes-Hôtel Dieu, Nantes, France.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Cariou
authors.affiliation: Service d'endocrinologie, CHU de Nantes-Hôtel Dieu, Nantes, France.
authors.forename: Delphine
authors.initials: D
authors.lastname: Drui
authors.affiliation: Laboratoire de biochimie, CHU de Nantes-Hotel Dieu, Nantes, France.
authors.forename: Nolwenn
authors.initials: N
authors.lastname: Graveline
authors.affiliation: Laboratoire de biochimie, CHU de Nantes-Hotel Dieu, Nantes, France.
authors.forename: Damien
authors.initials: D
authors.lastname: Masson
authors.affiliation: Laboratoire de biochimie, CHU de Nantes-Hotel Dieu, Nantes, France.
authors.forename: Kalyane
authors.initials: K
authors.lastname: Bach-Ngohou
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D000328:Adult; D000465:Algorithms; D003940:Diagnostic Techniques, Endocrine; D005260:Female; D006728:Hormones / Q000097:blood*; D006801:Humans; D008875:Middle Aged
chemical_list: D006728:Hormones
keywords: adrenal incidentaloma; pheochromocytoma; primary aldosteronism; subclinical cushing's syndrome