Endocrine Abstracts

The term adrenal ’incidentaloma’ is referring to an adrenal mass discovered incidentally during an abdominal imaging exam not motivated by the exploration of an adrenal pathology. The prevalence of diabetes in incidentaloma is high therefore a cortisol secretion should be searched. This is a retrospective study conducted on 100 patients with adrenal incidentaloma. These patients are divided into two groups; the first group is made up of diabetics (G1: n = 31) and the second of non-diabetics (G2: n = 69). The clinico-biological profile in the two groups was compared. The diabetics were older (64 vs. 56 years; P = 0.03). There was a slight female predominance in both groups (74% vs 52%; P = 0.03)). The majority of diabetics with incidentaloma had dyslipidemia (51% vs 22%; P = 0.04). Arterial hypertension was significantly more frequent in the diabetic group (74% vs. 47%; P = 0.01). Non-secretory adenoma was slightly more frequent in non-diabetic group (79% vs 70%). Cushing and Conn adenoma were more frequent in diabetic group. There was no pheochromocytoma in that group. The search for the secretory character of an adrenal mass is strongly recommended. Diabetes is common and is frequently secondary to the secretion of catecholamines and mineralocorticoids and cortisol.