Ultrasonography.
2020 Jan;39(1):11-21. 10.14366/usg.19029.
WFUMB position paper on the management incidental findings: adrenal incidentaloma
- Affiliations
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- 1Medical Department, Caritas-Krankenhaus, Bad Mergentheim, Germany
- 2Sino-German Research Center of Ultrasound in Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
- 3Service de Radiologie Adultes, Hôpital Necker, Université Paris Descartes, Paris, France
- 4Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China
- 5Ultrasound Section, Division of Surgery, Department of Gastroenterology, Herlev Hospital, Copenhagen Academy for Medical Education and Simulation (CAMES), University of Copenhagen, Copenhagen, Denmark
- 6Ultrasound Department, Charles Sturt University, Orange, NSW, Australia
- 7Department of Internal Medicine, Krankenhaus Märkisch Oderland, Strausberg/Wriezen and Brandenburg Institute for Clinical Ultrasound, Neuruppin, Germany
- KMID: 2501427
- DOI: http://doi.org/10.14366/usg.19029
Abstract
- Focal lesions of the adrenal glands are incidentally detected in approximately 5% of cases by modern imaging techniques. Fewer than 5% of these adrenal incidentalomas are malignant and approximately 10% have endocrine activity. Reliable differentiation of malignant versus benign and hormonally active versus nonfunctional adrenal incidentalomas significantly influences therapeutic management and the outcome of affected individuals. Therefore, each adrenal incidentaloma should undergo a standardized diagnostic work-up to exclude malignancy and endocrine activity. This position statement of the World Federation of Ultrasound in Medicine and Biology (WFUMB) summarizes the available evidence on the management of adrenal incidentaloma and describes efficient management strategies with particular reference to the role of ultrasound techniques.
