Incidentaloma classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Adrenal incidentaloma may be classified according to function into functioning (secreting) or nonfunctioning. Adrenal incidentaloma may be classified by nature into benign masses or malignant masses.

Classification

Adrenal incidentaloma may be classified by function into:

  • Functioning (hormonal secreting):
  • Adenomas and carcinoma can secrete any type of adrenal hormones.
  • Most of them probably secrete so little excess cortisol with minimal signs of Cushing’s syndrome that may be not discovered.
  • Pheochromocytomas that secrete catecholamines.
  • Aldosterone secreting masses may show hypertension and hypokalemia.
  • Nonfunctioning (nonhormonal secreting): adenoma, myelolipoma, neuroblastoma, ganglioneuroma, hemangioma, and cysts.

Adrenal incidentaloma may be classified by nature into:

  • Benign masses
  • Malignant masses

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