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Adrenal incidentaloma.
[adrenal incidentaloma]
Adrenal
incidentaloma
is
a
common
clinical
problem
and
its
prevalence
,
in
radiological
studies
,
comes
close
to
that
of
autoptic
data
as
a
result
of
imaging
technological
advances
.
The
diagnostic
challenge
is
to
distinguish
the
majority
of
benign
lesions
from
other
masses
,
either
malignant
or
hormone
secreting
,
which
require
further
therapy
.
The
imaging
evaluation
(
unenhanced
CT
and
MRI
)
can
differentiate
malignant
to
benign
lesions
because
the
benign
lesions
have
high
lipid
content
.
All
patients
should
be
tested
for
hypercortisolism
and
pheochromocytoma
whereas
aldosteronism
should
be
tested
in
hypertensive
patients
only
.
The
optimal
diagnostic
management
for
adrenal
incidentaloma
is
still
controversial
,
and
the
endocrinologist
must
devise
a
cost-effective
approach
taking
into
account
the
extensive
endocrine
work-up
and
imaging
investigations
that
may
be
necessary
.
A
tailored
strategy
may
be
based
on
the
selection
of
patients
at
increased
risk
who
require
a
careful
and
extensive
follow-up
among
the
vast
majority
of
patients
who
require
a
simplified
follow-up
.
Diseases
Validation
Diseases presenting
"common clinical problem"
symptom
achondroplasia
adrenal incidentaloma
legionellosis
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