Adrenal Incidentaloma

  • Sandy H. Fang
  • Amal Shibli-Rahhal
  • Janet Schlechte
  • L. Michael Brunt

When a small adrenal mass is found on a computed tomography (CT) scan and biochemical parameters are all normal, the question of observation versus removal arises. When removal required open surgery, a threshold of 6 cm was commonly used to trigger operative removal. As both imaging modalities and laparoscopic techniques have evolved, the question is being reexamined. This chapter uses the case of a 4-cm adrenal mass found incidentally on CT scan to explore these issues.


Primary Aldosteronism Adrenal Mass Laparoscopic Adrenalectomy Adrenocortical Carcinoma Hypertensive Crisis 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Sandy H. Fang
    • 1
  • Amal Shibli-Rahhal
    • 2
  • Janet Schlechte
    • 3
  • L. Michael Brunt
    • 4
  1. 1.Department of SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.Department of Internal MedicineUniversity of Iowa Health CareIowa CityUSA
  3. 3.Departments of Endocrine-Metabolism and Internal MedicineUniversity of Iowa Health CareIowa CityUSA
  4. 4.Department of SurgeryWashington University School of MedicineSt. LouisUSA

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