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Previous Volume 356:601-610 February 8, 2007 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 68-year-old woman is incidentally found to have a left adrenal mass, 2.8 cm in diameter, on abdominal computed tomography that was ordered to evaluate right lower abdominal discomfort (which has since resolved). Her medical history is notable only for hypertension that has been well controlled with hydrochlorothiazide, at a dose of 25 mg daily. She reports no sweating, palpitations, headache, weight . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Hormonal Evaluation

            Subclinical Cushing's Syndrome

            Clinically Silent Pheochromocytoma

            Primary Aldosteronism

            Other Hormonally Active Processes

Assessment of Malignant Potential

            Size of Adrenal Mass

            Imaging Phenotype

            Metastatic Disease

            Fine-Needle Aspiration Biopsy

Bilateral Adrenal Masses

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Division of Endocrinology, Diabetes, Metabolism, Nutrition, and Internal Medicine, Mayo Clinic, Rochester, MN.

Address reprint requests to Dr. Young at the Division of Endocrinology, Diabetes, Metabolism, Nutrition, and Internal Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, or at young.william@mayo.edu.

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