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.
KeywordsPrimary Aldosteronism Adrenal Mass Laparoscopic Adrenalectomy Adrenocortical Carcinoma Hypertensive Crisis
Unable to display preview. Download preview PDF.