Diagnostic Approach to Incidentaloma



Adrenal incidentalomas (AI) are masses of the adrenal gland discovered inadvertently during diagnostic imaging for other conditions unrelated to adrenal disease. Incidentally found adrenal tumors were first described more than 25 years ago [1–3]. Improvements in imaging technologies, their increasing availability and use have led to increasing recognition of AI as a public health problem in the aging population [4–6]. Prevalences of AI discovered by CT vary in an age-dependent manner from as low as 0.2% in the young (<30 years) to 6.9% or more in the elderly (50–80 years) [6–9]. AI seems to be more frequent in female subjects [6]. However, they comprise a heterogeneous group of diseases, including primary and secondary tumors, benign and malignant lesions, and endocrine masses with or without clinically relevant autonomous hormone secretion [10]. Patients with an AI have a decreased life expectancy, and evidence-based clinical management is cost-effective [11].


Congenital Adrenal Hyperplasia Primary Hyperaldosteronism Adrenal Mass Adrenal Adenoma Adrenal Lesion 
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© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of Endocrinology, Diabetes and RheumatologyUniversity Hospital DuesseldorfDuesseldorfGermany
  2. 2.Department of Medicine, Carl Gustav Carus Medical SchoolUniversity of DresdenDresdenGermany

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