What are the guidelines for the management of incidentalomas?

Once incidentalomas are detected, appropriate management is dependent on an informed patient’s wishes and the clinical situation. Guidelines are provided for the initial management of eight incidentalomas (pituitary, thyroid, pulmonary, hepatic, pancreatic, adrenal, renal, and ovarian).

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Should physicians be concerned about incidentalomas on radiologic studies?

Author disclosure: No relevant financial affiliations. Incidentalomas are increasingly common findings on radiologic studies, causing worry for physicians and patients. Physicians should consider the risk of discovering incidentalomas when contemplating imaging.

How is benign adrenal incidentaloma (adrenal incidentalomas) diagnosed?

A CT or MRI can usually determine whether an adrenal incidentaloma is benign by detecting lipid in the mass ( Table 2). Adenomas usually contain lipid (lipid-rich adenomas); however, most lipid-poor lesions are also adenomas. 1, 13 Only a small proportion of lipid-poor lesions are malignant nonadenomas.

How is adrenal incidentaloma diagnosed and treated?

An adrenal incidentaloma is now established as a common endocrine diagnosis that requires a multidisciplinary approach for effective management. The majority of patients can be reassured and discharged, but a personalized approach based upon image analysis, endocrine workup, and clinical symptoms and signs are required in every case.

What is an incidental finding?

What is an Incidental Finding? An incidental finding, also known as an incidentaloma, may be defined as “an incidentally discovered mass or lesion, detected by CT, MRI, or other imaging modality performed for an unrelated reason.”.