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What Is The Suggested Cure For Bilobed Low-density 3.3 Cm Right Adrenal Lesion?
my husband recently had a CT of the chest w/o contrast. It showed a bilobed low-density 3.3 cm right adrenal lesion. The radiologist said it was nonspecific , suspect adenoma and advised a 3 month follow up. This scares me, should we get a second opinion?
Wed, 18 May 2016
Brief Answer: You should see an endocrinologist or an internal medicine doctor in order to guide you through the diagnostic process and follow you up.
Detailed Answer:
Hello,
Thank you for using HCM.
I am giving you the best approach in this cases. In most of the cases, an adrenal mass, discovered incidentally (so called "incidentaloma") is not functional and the probability of being malignant is low. Even though it is recommended a detailed evaluation. The first step is to determine the functional status by a series of hormonal laboratory tests such as: plasma free methanephrine, plasma renin activity/aldosteron ratio, dexamethasone suppression test, etc... If the results of all laboratory tests are normal, then a fine needle aspiration may be needed. In this diagnostic process you should be guided by an endocrinologist or internist.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
Detailed Answer:
Hello,
Thank you for using HCM.
I am giving you the best approach in this cases. In most of the cases, an adrenal mass, discovered incidentally (so called "incidentaloma") is not functional and the probability of being malignant is low. Even though it is recommended a detailed evaluation. The first step is to determine the functional status by a series of hormonal laboratory tests such as: plasma free methanephrine, plasma renin activity/aldosteron ratio, dexamethasone suppression test, etc... If the results of all laboratory tests are normal, then a fine needle aspiration may be needed. In this diagnostic process you should be guided by an endocrinologist or internist.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
I find this answer helpful
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