Evaluation of incidental adrenal mass

Última revisão: 20 Aug 2025
Última atualização: 12 Dec 2024

Resumo

Differentials

Common

  • Nonsecretory adrenal adenomas
Full details

Uncommon

  • Cushing syndrome
  • Pheochromocytoma
  • Primary hyperaldosteronism
  • Adrenal cysts
  • Adrenal myelolipomas
  • Adrenal hemangiomas
  • Adrenal ganglioneuroma
  • Granulomatous infiltrative adrenal lesions
  • Adrenocortical carcinoma
  • Adrenal metastases
  • Adrenal malignant melanoma
Full details

Contributors

Authors

Benjamin Viglianti, MD, PhD

Associate Professor

Division of Nuclear Medicine

Department of Radiology

University of Michigan

Ann Arbor

MI

Disclosures

BV declares that he has no competing interests.

Mitchel Muhleman, MD

Assistant Professor

Division of Nuclear Medicine

Department of Radiology

University of Michigan

Ann Arbor

MI

Disclosures

MM declares that he has no competing interests.

Daniel Wale, DO

Associate Professor

Division of Nuclear Medicine

Department of Radiology

University of Michigan

Ann Arbor

MI

Disclosures

DW declares that he has no competing interests.

Ka Kit Wong, MBBS

Associate Professor

Division of Nuclear Medicine

Department of Radiology

University of Michigan

Ann Arbor

MI

Divulgaciones

KKW declares that he has no competing interests.

Agradecimientos

Dr Benjamin Viglianti, Dr Mitchel Muhleman, Dr Daniel Wale, and Dr Ka Kit Wong would like to gratefully acknowledge Dr Milton D. Gross and Dr Anca M. Avram, the previous contributors to this topic.

Divulgaciones

MDG is an author of references cited in this topic. AMA declares that he has no competing interests.

Revisores por pares

Shehzad Basaria, MD

Assistant Professor

Johns Hopkins University School of Medicine

Baltimore

MD

Divulgaciones

SB declares that he has no competing interests.

Lawrence S. Kirschner, MD, PhD

Associate Professor of Medicine

Ohio State University

Columbus

OH

Divulgaciones

LSK declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Grumbach MM, Biller BM, Braunstein GD, et al. Management of the clinically inapparent adrenal mass ("incidentaloma"). Ann Intern Med. 2003 Mar 4;138(5):424-9.Texto completo  Resumen

Young WF Jr. Clinical practice. The incidentally discovered adrenal mass. N Engl J Med. 2007;356:601-10. Resumen

Fassnacht M, Tsagarakis S, Terzolo M, et al. European Society of Endocrinology clinical practice guidelines on the management of adrenal incidentalomas, in collaboration with the European Network for the Study of Adrenal Tumors. Eur J Endocrinol. 2023 Jul 20;189(1):G1-42.Texto completo  Resumen

Zeiger MA, Thompson GB, Duh QY, et al. The American Association of Clinical Endocrinologists and American Association of Endocrine Surgeons medical guidelines for the management of adrenal incidentalomas. Endocr Pract. 2009 Jul-Aug;15(suppl 1):1-20.Texto completo  Resumen

Expert Panel on Urological Imaging., Mody RN, Remer EM, et al. ACR Appropriateness Criteria® Adrenal Mass Evaluation: 2021 Update. J Am Coll Radiol. 2021 Nov;18(11s):S251-S267.Texto completo  Resumen

Artículos de referencia

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