MENA 2024 Recordings-Adrenal Incidentalomas

Video Transcription

Video Summary

The presentation focuses on the practical application of recent guidelines from the European Society for Endocrinology regarding adrenal incidentalomas. These are adrenal masses discovered accidentally, typically over one centimeter, often found during routine CT scans. An increase in such findings has been noted largely due to advanced imaging technologies. The presentation aims to explain the epidemiology and recommended hormonal workup for adrenal masses, highlighting that most of these masses are benign. However, some masses demonstrate malignancy risk, requiring careful evaluation based on imaging characteristics and hormonal excess. The density measurement using Hounsfield units is emphasized to categorize masses as benign or malignant. The importance of assessing for hormonal excess, such as cortisol, aldosterone, and catecholamines, is noted in conjunction with imaging assessments to determine required medical or surgical management. Various patient cases are discussed to illustrate these concepts and the significant role of endocrinologists in patient management.

Asset Subtitle

Dr. Irina Bancos

Keywords

adrenal incidentalomas

European Society for Endocrinology

hormonal workup

Hounsfield units

benign vs malignant

endocrinologist role