Should A Painful Benign Adrenal Adenoma On The Left Side Be Left Untreated?

Posted on Fri, 2 Mar 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 2 Mar 2018 Answered on

Fri, 8 Feb 2019 Last reviewed on

Question : I have a 4.3 cm adrenal adenoma on the left side. it was smaller back in 2011 when I had a 7 cm mass removed with my right ovary so they left it alone. have had lots of weight gain, pain on left side to where I almost went to er tonight. primary dr doesn't feel I need any additional workup since mri showed it was benign and from fatty cells, no blood flow to it

Answered by Dr. Mirjeta Guni (21 minutes later)

Brief Answer:
About adrenal adenoma:

Detailed Answer:

Hello,

Usually we recommend surgery for adenomas over 4 cm despite their characteristics in MRI or CT scan. Furthermore, the mass dimensions have increased during the last few years, that is another criteria to remove it.

You should also exclude hormonal production by checking the adrenal gland hormonal secretion, if you have noticed that during these years you have gained weight, have high blood pressure, Diabetes etc.

You should probably discuss once again with your physician about it.

Hope I have answered your query.

Regards,
Dr. Mirjeta Guni
Endocrinologist

Above answer was peer-reviewed by : Dr. Kampana