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Nationellt vårdprogram för adrenala incidentalom

Journal article
Authors Andreas Muth
Lilian Hammarstedt
Mikael Hellström
Ulf Nyman
Anders Sundin
Hans Wahrenberg
Bo Wängberg
Published in Läkartidningen
Volume 114
ISSN 1652-7518
Publication year 2017
Published at Institute of Clinical Sciences, Department of Surgery
Institute of Clinical Sciences, Department of Radiology
Language sv
Links lakartidningen.se/Klinik-och-vetens...
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Endocrine surgery, Clinical Medicine

Abstract

Swedish guidelines for the management of adrenal incidentalomas  Adrenal incidentalomas are seen in about five percent of abdominal CT examinations, and in most cases represent non-hormone-producing adrenocortical adenomas, but hormone-producing or malignant lesions occur. Revised Swedish guidelines for the evaluation and management of adrenal incidentalomas based on recently published European guidelines are presented. The importance of a thorough radiological, clinical and biochemical initial evaluation is emphasized. Long-term biochemical follow-up is not recommended and use of CT contrast medium »washout« calculation is omitted. No radiological evaluation or follow-up indicated for adrenal incidentalomas <1 cm size. For patients with diagnosed lipid rich adenomas (≤ 10 HU) 1-4 cm in size no radiological follow-up is suggested after initial evaluation.

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