[PDF] Guidelines for the management of the incidentally discovered adrenal mass

Canadian Urological Association
Canadian Urological Association
Publication date:
01 June 2011


The incidental adrenal mass is an adrenal lesion >1 cm, discovered on radiologic examination done for reasons other than to investigate for primary adrenal disease.

The goals of initial work-up for adrenal incidentalomas are to distinguish benign from malignant processes as well as non-functioning from hyperfunctioning tumours. A complete evaluation allows the clinician to distinguish adrenocortical carcinoma, pheochromocytoma, primary aldosteronism, and Cushing‘s syndrome, (which require surgical removal), from benign adenomas, which can be followed clinically.