| REVIEW ARTICLE |
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| Year : 2012 | Volume
: 4
| Issue : 3 | Page : 137-144 |
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Current concepts in the management of adrenal incidentalomas
Prashanth Kanagarajah1, Rajinikanth Ayyathurai1, Murugesan Manoharan1, Govindarajan Narayanan2, Bruce R Kava1
1 Department of Urology, University of Miami, FL, USA
2 Department of Radiology, University of Miami, FL, USA
Correspondence Address:
Prashanth Kanagarajah
1150 NW 14 Street, Suite 309, Miami, Florida 33136
USA
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DOI: 10.4103/0974-7796.102657 PMID: 23248518 
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Adrenal tumors are among the commonest incidental findings discovered. The increased incidence of diagnosing adrenal incidentalomas is due to the widespread availability and use of noninvasive imaging studies. Extensive research has been conducted to define a cost-effective diagnostic and therapeutic protocol to guide physicians in managing incidental adrenal lesions. However, there is little consensus on the optimal management strategy. Published literature to date, describes a wide spectrum of treatment options ranging from excision of all adrenal lesions regardless of the size and functional status to extensive hormonal and radiological evaluation to avoid surgery. In this review, we present a comprehensive overview of the presentation, evaluation and management of adrenal incidentalomas. Additionally, we propose a management algorithm to optimally manage these tumors. |
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