Incidentaloma screening

Incidentaloma Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Incidentaloma from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Incidentaloma screening On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Incidentaloma screening All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Incidentaloma screening
CDC on Incidentaloma screening
Incidentaloma screening in the news
Blogs on Incidentaloma screening
Directions to Hospitals Treating Psoriasis
Risk calculators and risk factors for Incidentaloma screening

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

Overview

According to the [guideline name], screening for [disease name] is not recommended.

Screening

• According to the European Society of Endocrinology Clinical Practice Guideline, screening for adrenal incidentaloma includes:

Indications for adrenal incidentaloma screening

• Patients with possible autonomous cortisol secretion or autonomous cortisol secretion for hypertension and type 2 diabetes mellitus.
• Patients with asymptomatic vertebral fractures.
• Screening imaging in patients with a hereditary syndrome leading to adrenal tumors.
• Family screening with 1 mg dexamethasone test can be considered in cases of bilateral macronodular hyperplasia, especially in younger patients.

Screening measures

Disease	Laboratory tests
Pheochromocytoma	24-hour urine: Fractionated metanephrines Fractionated catecholamines Blood: Fractionated metanephrines
Cushing's syndrome	For patients with symptoms of Cushing's syndrome: 24-hour urinary free cortisol For patients lacking symptoms of Cushing's syndrome: 1 mg overnight dexamethasone suppression test
Primary aldosteronism	Plasma aldosterone concentration, plasma renin activity