Endocrine Abstracts

Introduction: Adrenal incidentelomas are new era of the endocrinology. We aimed to see the results of adrenal masses retrospectively.

Methods: Patients admitted to the Internal Medicine outpatient clinic for different complaints were retrospectively evaluated. Patients whom abdominal imaging like ultrasonography, magnetic resonance imaging or computed tomography were done and incedentally established adrenal masses were evaluated. Patients with a history of hypertension, findings of hypokalemia, hypernatremia were excluded from the study. Patients were hospitalised and adrenal function tests were done.

Results: There were totally 59 patients, 24 male (40.67%), 35 female (59.32%), and mean ages were 57.54+11.29 years (32–75 years) in men and 55.71+11.72 years (31–81) in women. Adrenal function tests revealed that 53 (89.83%) incidentelomas were nonfunctioning. Totally 6 (10.16%) patients’ adenomas were functioning, 3 (5.08%) of them were pheochromacytomas, 1 was subclinical Cushing syndrome and 2 (3.38%) were primary hyperaldosteronisms. 3 (5.08%) of nonfunctioning adenomas were diagnosed as metastasis in computerized tomography, one was small cell carcinoma, and one was prostate malignancy. The other patient was operated and diagnosed as adrenal adenocarcinoma. In the nonfunctioning group, two patients had cyst hydatid disease and were having treatment for it and also two patients had accessesory spleen in the tomography.

Conclusion: Patients with adrenal incidentelomas should be evaluated for hyperfunctioning and also metastasis from other organs should be kept in mind.