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- Title
Evaluación del incidentaloma adrenal.
- Authors
Pérez Sanz, María Teresa; Pérez Sanz, Alejandro
- Abstract
An adrenal incidentaloma is a mass detected by chance on an imaging test. It is important that general practitioners know how to manage it, since it is an increasingly frequent finding. It is necessary to assess whether it presents malignant characteristics in imaging tests and the possibility of subclinical hormonal hyperfunction. The basic hormonal study evaluates the overproduction of catecholamines with a study of fractionated metanephrines in plasma or in 24-hour urine, hypercortisolism with a dexamethasone suppression test, and, in patients with hypertension or hypokalemia, the possibility of hyperaldosteronism with determination of the plasma aldosterone/ renin ratio. Surgical treatment is indicated in hyperfunctioning nodules, those with suspicion of malignancy or in large ones.
- Publication
Galicia Clínica, 2023, Vol 84, Issue 2, p26
- ISSN
0304-4866
- Publication type
Article
- DOI
10.22546/69/4071