Canadian Urological Association guideline: Diagnosis, management, and followup of the incidentally discovered adrenal mass

doi:10.5489/cuaj.8248

. 2023 Feb;17(2):12-24.

doi: 10.5489/cuaj.8248.

Canadian Urological Association guideline: Diagnosis, management, and followup of the incidentally discovered adrenal mass

Affiliations

¹ Division of Urology, University of Ottawa, Ottawa, ON, Canada.
² Division of Urology, University of Toronto, Toronto, ON, Canada.
³ Department of Radiology, University of Ottawa, Ottawa, ON, Canada.
⁴ Department of Endocrinology, Dalhousie University, Halifax, NS, Canada.
⁵ Department of Urology, Queen's University, Kingston, ON, Canada.
⁶ Urology, Credit Valley, Mississauga, ON, Canada.
⁷ Divison of Urology, McMaster University, Hamilton, ON, Canada.
⁸ Division of Urology, University of Saskatchewan, Saskatoon, SK, Canada.
⁹ Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.

PMID: 36849113
PMCID: PMC9970641
DOI: 10.5489/cuaj.8248

Canadian Urological Association guideline: Diagnosis, management, and followup of the incidentally discovered adrenal mass

Neal E Rowe et al. Can Urol Assoc J. 2023 Feb.

. 2023 Feb;17(2):12-24.

doi: 10.5489/cuaj.8248.

Authors

Affiliations

¹ Division of Urology, University of Ottawa, Ottawa, ON, Canada.
² Division of Urology, University of Toronto, Toronto, ON, Canada.
³ Department of Radiology, University of Ottawa, Ottawa, ON, Canada.
⁴ Department of Endocrinology, Dalhousie University, Halifax, NS, Canada.
⁵ Department of Urology, Queen's University, Kingston, ON, Canada.
⁶ Urology, Credit Valley, Mississauga, ON, Canada.
⁷ Divison of Urology, McMaster University, Hamilton, ON, Canada.
⁸ Division of Urology, University of Saskatchewan, Saskatoon, SK, Canada.
⁹ Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.

PMID: 36849113
PMCID: PMC9970641
DOI: 10.5489/cuaj.8248

No abstract available

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Conflict of interest statement

COMPETING INTERESTS: The authors and reviewers do not report any competing personal or financial interests related to this work.

Figures

**Figure 1**
Algorithm for the workup of an adrenal incidentaloma. ACC: adrenocortical carcinoma; CT: computed tomography; HTN: hypertension; hypoK: hypokalemia; MRI: magnetic resonance imaging; PET: positron emission tomography.

**Figure 2**
Management of a functional adrenal lesion. ACTH: adrenocorticotropic hormone MIS: minimally invasive surgery.

See this image and copyright information in PMC

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References

1. NIH state-of-the-science statement on management of the clinically inapparent adrenal mass (“incidentaloma”) NIH Consens State Sci Statements. 2002;19:1–25. Available at https://consensus.nih.gov/2002/2002AdrenalIncidentalomasos021main.htm. - PubMed
1. Song JH, Chaudhry FS, Mayo-Smith WW. The incidental adrenal mass on CT: Prevalence of adrenal disease in 1049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol. 2008;190:1163–8. doi: 10.2214/AJR.07.2799. - DOI - PubMed
1. Young WF., JrManagement approaches to adrenal incidentalomas: A view from Rochester, MinnesotaEndocrinol Metab Clin North Am 200029159–85.10.1016/S0889-8529(05)70122-5 - DOI - PubMed
1. Kapoor A, Morris T, Rebello R. Guidelines for the management of the incidentally discovered adrenal mass. Can Urol Assoc J. 2011;5:241–7. doi: 10.5489/cuaj.657. - DOI - PMC - PubMed
1. Fassnacht M, Arlt W, Bancos I, 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 Endocrin. 2016175:G1–34. doi: 10.1530/EJE-16-0467. - DOI - PubMed

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[1] NIH state-of-the-science statement on management of the clinically inapparent adrenal mass (“incidentaloma”) NIH Consens State Sci Statements. 2002;19:1–25. Available at https://consensus.nih.gov/2002/2002AdrenalIncidentalomasos021main.htm. - PubMed

[2] NIH state-of-the-science statement on management of the clinically inapparent adrenal mass (“incidentaloma”) NIH Consens State Sci Statements. 2002;19:1–25. Available at https://consensus.nih.gov/2002/2002AdrenalIncidentalomasos021main.htm. - PubMed

[3] Song JH, Chaudhry FS, Mayo-Smith WW. The incidental adrenal mass on CT: Prevalence of adrenal disease in 1049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol. 2008;190:1163–8. doi: 10.2214/AJR.07.2799. - DOI - PubMed

[4] Song JH, Chaudhry FS, Mayo-Smith WW. The incidental adrenal mass on CT: Prevalence of adrenal disease in 1049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol. 2008;190:1163–8. doi: 10.2214/AJR.07.2799. - DOI - PubMed

[5] Young WF., JrManagement approaches to adrenal incidentalomas: A view from Rochester, MinnesotaEndocrinol Metab Clin North Am 200029159–85.10.1016/S0889-8529(05)70122-5 - DOI - PubMed

[6] Young WF., JrManagement approaches to adrenal incidentalomas: A view from Rochester, MinnesotaEndocrinol Metab Clin North Am 200029159–85.10.1016/S0889-8529(05)70122-5 - DOI - PubMed

[7] Kapoor A, Morris T, Rebello R. Guidelines for the management of the incidentally discovered adrenal mass. Can Urol Assoc J. 2011;5:241–7. doi: 10.5489/cuaj.657. - DOI - PMC - PubMed

[8] Kapoor A, Morris T, Rebello R. Guidelines for the management of the incidentally discovered adrenal mass. Can Urol Assoc J. 2011;5:241–7. doi: 10.5489/cuaj.657. - DOI - PMC - PubMed

[9] Fassnacht M, Arlt W, Bancos I, 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 Endocrin. 2016175:G1–34. doi: 10.1530/EJE-16-0467. - DOI - PubMed

[10] Fassnacht M, Arlt W, Bancos I, 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 Endocrin. 2016175:G1–34. doi: 10.1530/EJE-16-0467. - DOI - PubMed

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Canadian Urological Association guideline: Diagnosis, management, and followup of the incidentally discovered adrenal mass

Affiliations

Canadian Urological Association guideline: Diagnosis, management, and followup of the incidentally discovered adrenal mass

Authors

Affiliations

Conflict of interest statement

Figures

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References

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