Incidental Adrenal Mass with Suspicious Features
Laparoscopic adrenalectomy has rapidly superseded open adrenalectomy for most cases of benign adrenal disease. Conversely, open adrenalectomy is preferred when adrenocortical carcinoma is the diagnosis. When the diagnosis is uncertain, but definitely includes adrenocortical cancer, the decision-making process becomes more complex. Chapter 35 discussed options for management of the incidentaloma with benign features. In this chapter, an incidentaloma with some concerning features is presented, and the pros and cons of open versus laparoscopic adrenalectomy are debated.
KeywordsBasal Cell Carcinoma Adrenal Mass Laparoscopic Adrenalectomy Adrenocortical Carcinoma Adrenal Metastasis
Unable to display preview. Download preview PDF.
- Schulick RD, Brennan MF. Long-term survival after complete resection and repeat resection in patients with adrenocortical carcinoma. Ann Surg Oncol 1999;719-726.Google Scholar
- Graham DJ, McHenry CR. The adrenal incidentaloma: guidelines for evaluation and recommendations for management. Surg Oncol Clin North Am 1998;7(4):749–764.Google Scholar
- NIH state-of-the-science statement on management of the clinically inapparent adrenal mass (“incidentaloma”). NIH Consens State Sci Statements 2002;19(2):1-25.Google Scholar