Follow-up of nonsurgical nonfunctioning adrenal adenomas at five years

Abstract:

The management of nonfunctioning adrenal masses is controversial. The size is usually the only criterion for surgical treatment. The objective was to study the progression of the tumor size and the follow-up of several cardiovascular risk parameters in patients with nonsurgical nonfunctioning adrenal masses. Retrospective longitudinal observational study of 24 patients (54.2% men) with nonfunctioning adenomas followed for five years without surgical treatment. Age, sex, size and location of tumor, blood pressure (BP), body mass index (BMI), lipids, fasting glucose, ions (Na and K), cortisol levels, 24 hours cortisoluria, ACTH, S-DHEAS, aldosterone, urine catecholamines and metanephrines, were analyzed at the time of diagnosis and after five years. LDL and TG were classified according to ATP-III criteria, and diabetes or pbkp_rediabetes were diagnosed according to the ADA criteria. Adrenal CT was performed every 6 …

Año de publicación:

2012

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