Incidentally findings, in CT scan, a 3cm adrenal mass, which of the following is NOT- done
(Adrenalectomy) (816- B&L 24th) (812-Baily &Love 25th)* A unilateral non functioning adrenal mass greater than 4cm in diameter is an indication for adrenalectomy. The patient with a mass smaller than 4cm in diameter should undergo repeat CT/MR1 -4-6 months after the previous examinationINVESTIGATIONSFunctioning adrenal tumourA malignant adrenal mass1. 2 x 24 hour urine collection for catecholamines and metanephrines** FNAC* Primary adrenocortical carcinoma -2. Plasma urea and electrolytes, plasma aldosterone and reninIncidentalomas of 4cm or more in diameter carry an increased risk of malignancy3. Basal a-m and midnight plasma cortisol, blood glucose, DHEAS4. 1 mg overnight dexamethasone suppression test*
Adrenalectomy
Dexamethasone suppression test
Measurment of catecholamines
Midnight plasma cortisol
Parathyroid & Adrenal Glands