Editing Adrenal: Benign Tumours (section)

== Adenomas ==

* '''Most common primary adrenal tumour'''
* Incidence increases with age
* '''Diagnosis and Evaluation'''
** '''Vast majority (93%) are metabolically silent'''
*** '''The essential evaluation of the small adrenal mass requires differentiating the nonfunctional benign adenoma from functional or malignant lesions'''
** '''Imaging'''
** Insert Image


CT scan demonstrating right adrenal adenoma

Source: Wikipedia

* '''Management'''
** '''Functional adenoma'''
*** '''Should undergo resection in acceptable surgical candidate'''.
** '''Non-functional adenoma'''
*** '''Size of lesion and its growth characteristics dictate management as described above'''
*** '''Adenomas that are initially metabolically inert are unlikely (<2%) to gain function.'''
**** '''Despite this low rate of “metabolic transformation,” the most recent consensus statement''' by a panel of NIH-convened experts '''suggests that annual metabolic hormonal screening for the first 3-4 years after diagnosis is prudent'''