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Review

Evaluating and managing adrenal incidentalomas

Thottathil Gopan, MD, Erick Remer, MD and Amir H. Hamrahian, MD
Cleveland Clinic Journal of Medicine June 2006, 73 (6) 561-568;
Thottathil Gopan
Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic
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Erick Remer
Department of Radiology, Cleveland Clinic
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Amir H. Hamrahian
Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic
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ABSTRACT

Adrenal masses that are found incidentally should be evaluated with both imaging and hormonal studies. The attenuation coefficient on noncontrast computed tomography (CT), expressed in Hounsfield units (HU), is better than tumor size in differentiating adrenal adenomas and hyperplastic lesions from nonadenomas. All patients should undergo hormonal evaluation for Cushing syndrome and pheochromocytoma. Those with hypertension should also be evaluated for hyperaldosteronism.

  • © 2006 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 73 (6)
Cleveland Clinic Journal of Medicine
Vol. 73, Issue 6
1 Jun 2006
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Evaluating and managing adrenal incidentalomas
Thottathil Gopan, Erick Remer, Amir H. Hamrahian
Cleveland Clinic Journal of Medicine Jun 2006, 73 (6) 561-568;

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Evaluating and managing adrenal incidentalomas
Thottathil Gopan, Erick Remer, Amir H. Hamrahian
Cleveland Clinic Journal of Medicine Jun 2006, 73 (6) 561-568;
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