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Adrenalectomy

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Abstract

Unilateral or bilateral adrenalectomy is performed for a variety of indications, including hormonal excess or suspected malignancy. Preoperatively, it is important to determine whether there is an indication for surgery and whether a fine needle aspiration biopsy is indicated. In addition, all patients with adrenal masses should undergo a clinical and biochemical evaluation for hormonal excess (excess cortisol, aldosterone, catecholamines, androgens). Postoperatively, patients should be assessed for hormonal deficiencies and hormone replacement therapy initiated if indicated with appropriate patient education. Patients will need follow-up after surgery to manage their endocrine status and follow up the histopathologic diagnosis.

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Abbreviations

IV:

Intravenous

Suggested Reading

  • Fassnacht M, Arlt W, Bancos I, Dralle H, Newell-Price J, Sahdev A, et al. Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors. Eur J Endocrinol. 2016;175(2):G1–G34.

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  • Mitchell J, Barbosa G, Tsinberg M, Milas M, Siperstein A, Berber E. Unrecognized adrenal insufficiency in patients undergoing laparoscopic adrenalectomy. Surg Endosc. 2009;23:248–54.

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  • Zeiger MA, Thompson GB, Duh QY, Hamrahian AH, Angelos P, Elaraj D, 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;15(Suppl 1):1–20.

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Correspondence to Ole-Petter R. Hamnvik .

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Hamnvik, OP.R. (2020). Adrenalectomy. In: Garg, R., Hennessey, J., Malabanan, A., Garber, J. (eds) Handbook of Inpatient Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-030-38976-5_19

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  • DOI: https://doi.org/10.1007/978-3-030-38976-5_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-38975-8

  • Online ISBN: 978-3-030-38976-5

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