Table of contents
Adrenal incidentaloma
What's new
Updated 2023 ESE/ENSAT guidelines for the evaluation and management of adrenal incidentaloma.
Background
Overview
Guidelines
Key sources
Classification and risk stratification
Diagnostic investigations
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Diagnostic imaging
Dexamethasone suppression test
Metanephrine assays
Aldosterone-to-renin ratio
Hormonal evaluation
Multidisciplinary assessment
Diagnostic procedures
Therapeutic procedures
Perioperative care
Surgical interventions
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Indications for adrenalectomy (hormone-secreting tumors)
Indications for adrenalectomy (malignant tumors)
Technical considerations for adrenalectomy
Specific circumstances
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Pregnant patients
Elderly patients
Patients with autonomous cortisol secretion (evaluation)
Patients with autonomous cortisol secretion (management)
Patients with bilateral AIs (evaluation)
Patients with bilateral AIs (management)
Patients with adrenal metastases
Patients with extra-adrenal malignancy
Follow-up and surveillance
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Serial laboratory assessment