title: Surgical approach in adrenal incidentalomas: Report of thirteen cases and review of the literature.
abstract: OBJECTIVE
  The rate of adrenal incidentalomas detected in routine diagnostic imaging techniques is approximately 4-7%. Although the lesions are generally benign, carcinoma and functional adenomas can be diagnosed with careful clinic and laboratory evaluation.
  
  
  METHODS
  Data of 13 patients who underwent surgery for an adrenal mass between January 2010-June 2014 were analyzed retrospectively.
  
  
  RESULTS
  Seven (54%) patients were male, 6 (46%) were female, and the mean age was 38.2. The clinical diagnosis was pheochromacytoma in 5 patients (38.4%), non-functional adenoma in 5 (38.4), and metastatic lesion, Cushing syndrome, and adrenal carcinoma each in one patient (7.6%). Conventional open adrenalectomy was performed in 8 patients, while 5 patients underwent laparoscopic adrenalectomy.
  
  
  CONCLUSIONS
  Adrenal incidentalomas should be carefully evaluated for hormonal activity even if asymptomatic, and non-functional lesions should be considered as suspicious-for-malignancy. Laparoscopic adrenalectomy has become the gold standard for patients with a mass less than 6 cm, and without infiltration to adjacent organs.
authors.affiliation: Clinic of General Surgery, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Erdem
authors.affiliation: Clinic of General Surgery, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Süleyman
authors.initials: S
authors.lastname: Çetinkünar
authors.affiliation: Clinic of Urology, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Faruk
authors.initials: F
authors.lastname: Kuyucu
authors.affiliation: Clinic of Urology, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Erçil
authors.affiliation: Clinic of General Surgery, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Görür
authors.affiliation: Department of General Surgery, Namık Kemal University School of Medicine, Tekirdağ, Turkey.
authors.forename: Selim
authors.initials: S
authors.lastname: Sözen
keywords: Adrenal mass; incidentaloma; laparoscopy; surgery