Management approaches to adrenal incidentalomas (adrenalomas) - A view from Athens, Greece

The article provides suggestions for the management of incidentalomas based on the author's experience with treating surgically different adrenal diseases in 217 patients. The main goal in evaluating these tumors is to rule out subclinical Cushing's syndrome, subclinical pheochromocytoma, subclinical primary aldosteronism, primary adrenal carcinoma, and solitary adrenal metastases. When evidence of subclinical function or potential for malignancy exists, then laparoscopic adrenalectomy is indicated for definitive diagnosis and treatment. Otherwise, follow-up for several years with repeated hormonal and imaging studies are necessary to confirm the secretory and benign nature of these lesions.