Evaluation of patients with adrenal incidentalomas

Curr Opin Endocrinol Diabetes Obes. 2013 Jun;20(3):161-9. doi: 10.1097/MED.0b013e328360a43b.


Purpose of review: Adrenal incidentalomas are common in this era of ubiquitous imaging. There is a lack of consensus on the mode and extent of evaluation, and follow-up of adrenal incidentalomas.

Recent findings: There is increasing evidence of morbidity associated with subclinical hormone excess from functioning adrenal masses. Improved radiological techniques and interpretation have helped identify lipid-rich adenomas more accurately and tailor the evaluation of adrenal incidentalomas.

Summary: A practical outline in the investigation and follow-up of adrenal incidentalomas incorporating the recent evidence is presented.

Publication types

  • Review

MeSH terms

  • Adrenal Gland Neoplasms / diagnosis*
  • Adrenal Gland Neoplasms / pathology
  • Adrenal Gland Neoplasms / physiopathology
  • Adrenal Gland Neoplasms / therapy
  • Decision Trees
  • Evidence-Based Medicine*
  • Humans
  • Neoplasm Staging

Supplementary concepts

  • Adrenal incidentaloma