Glands

An adrenal mass found by chance: what happens next

Many adrenal masses are found on a scan done for another reason. Size and hormone tests decide between follow-up and surgery.

An adrenal mass found by chance: what happens next

Why they are found so often

The two adrenal glands sit above the kidneys. With CT scans used widely, small masses are found in people who have no related symptoms. Most are benign and do not make extra hormone.

Two questions before any decision

  • Is it overproducing hormone? Cortisol, aldosterone, or the hormones that raise blood pressure and heart rate.
  • Do its size and appearance on the scan look reassuring?

Hormone tests are requested even without obvious symptoms, because some tumours secrete quietly.

When is surgery discussed?

If the mass is making a hormone that has caused high blood pressure, bone thinning, or spells of palpitations and sweating, or if it is large or looks worrying on the scan. Laparoscopic removal suits many benign, functioning tumours.

A mass on the report does not mean an operation. A large share of cases are followed with repeat size and blood tests.

This article is for general education and does not replace a medical examination or your doctor’s advice.

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