Adrenal Incidentaloma Treatment:
Management of an incidentally found adrenal mass in a patient without a known primary malignancy will depend upon the size of the mass, its characteristics on the CT or MRI scan, and whether hormonal tests indicate that the tumor is producing excessive adrenal hormones.
The two options for treating adrenal incidentaloma are:
- Monitoring its appearance with a series of CT or MRI scans
- Removing the adrenal mass with minimally invasive surgery, usually laparoscopically. It typically involves removal of the mass and the adrenal gland (adrenalectomy). In select cases, removal of only the tumor may be recommended (partial adrenalectomy). This surgery may be done through a single small incision in the abdomen (Single Site laparoscopic surgery) or through 3-4 small keyhole incisions. Robotic surgery may also be recommended by your surgeon. If the lesion is large and/or looks suspicious on the CT or MR imaging, the mass is secreting excessive adrenal hormones. Surgery recovery will typically require a 1-2 day hospitalization and 10-14 day recovery period.
Adrenal Cushing's Syndrome Treatment:
Treatment of adrenal tumors that cause Cushing's syndrome include laparoscopic surgery and possible medication to reduce the production of cortisol.
Hyperaldosteronism/Conn's Syndrome Treatment:
Treatment of an aldosterone producing tumor involves monitoring and replacing serum potassium levels and laparoscopic adrenal removal or partial adrenalectomy. Along with recovery from surgery, you will see your primary doctor for blood pressure and serum potassium monitoring. Your blood pressure may normalize or you may require blood pressure medication after surgery.
Adrenal Pheochromocytoma Treatment:
The preferred treatment for adrenal pheochromocytoma is surgical removal of the functional adrenal tumors. Most cases are done through minimally invasive approaches. Medical treatment is a crucial part of treatment prior to the adrenal surgery in order to suppress effects of the excessive hormone secretion.
Metastasis of Primary Malignancy to the Adrenal Gland Treatment:
The treatment of metastatic lesions of the adrenal gland depend upon the primary malignancy. Management is usually dictated by the physician treating the primary malignancy. It may center upon medical management with chemotherapy or other medications or possible surgical excision.
Would you like an appointment?
Please call our office at 646-962-9600 to schedule an appointment via phone. Our phone staff are available to help you Monday-Friday, from 9AM-5PM (EST).
If you'd like to learn more about each of our providers that specialize in Benign Lesions of the Adrenal Gland, please review the Physicians & Faculty profiles listed at the bottom of this page.
