Abstract:

Background: Adrenal inincidentolamas are masses that are incidentally detected during imaging tests performed for other reasons. Nowadays, with the wide spread use of abdominal imaging techniques, the frequency of adrenal incidentaloma diagnosis has increased. Every adrenal incidentaloma should be evaluated for whether it is malignant and hormonally functional. This evaluation is important for treatment planning and follow-up. Materials and Methods: We retrospectively evaluated the clinical, radiological, hormonal and laboratory follow-up of total 68 cases with adrenal masses. Results: 58.8% of the cases were female (n:40), 41.2% were male. Thirty six of the patients were evaluated according to the results of computerize tomography, 22 of the manyetic rezonans ımaging and computerize tomography, 10 of the manyetic rezonans imaging. The mass diameter of adrenal incidentalomas was 4-95 mm. 42% (n: 29) of the patients with adrenal incidentaloma were operated. Non-functional adenoma (NFA) was found in 35 patients, whereas functional adenoma (FA) was found in 33 patients. According to clinicopathological evaluations; 22 (32.3%) pheochromocytoma, 7 (10.2%) cushing syndrome and 4 (1.4%) conn syndrome were found in surrenal masses. When evaluated in terms of accompanying diseases; 15 of the patients had both hypertension and diabetes, 26 of the patients had diabetes and 27 of them had no comorbidities. Conclusions: Most of the adrenal incidentaloma cases in our study are non-functional adenomas. Among the functional adenomas, pheochromocytoma have been detected more commonly and this is followed by cushing syndrome. Functionality and size of them were decisive in the course of surgery. Key Words: Surrenal incidentaloma, Pheochromocytoma, Cushing syndrome, Hypereraldosteronism