Evaluation of incidental adrenal mass

Last reviewed: 10 Aug 2025
Last updated: 12 Dec 2024

Summary

Diagnósticos diferenciais

comuns

  • Nonsecretory adrenal adenomas
Detalhes completos

Incomuns

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

Colaboradores

Autores

Benjamin Viglianti, MD, PhD

Associate Professor

Division of Nuclear Medicine

Department of Radiology

University of Michigan

Ann Arbor

MI

Declarações

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

Declarações

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

Declarações

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

Declarações

KKW declares that he has no competing interests.

Agradecimentos

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.

Declarações

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

Revisores

Shehzad Basaria, MD

Assistant Professor

Johns Hopkins University School of Medicine

Baltimore

MD

Declarações

SB declares that he has no competing interests.

Lawrence S. Kirschner, MD, PhD

Associate Professor of Medicine

Ohio State University

Columbus

OH

Declarações

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.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

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  Resumo

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

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  Resumo

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  Resumo

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  Resumo

Artigos de referência

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