Approach to the patient with adrenal incidentaloma. Case series

The formations of the adrenal glands are often detected accidentally during instrumental methods examination abdominal cavity and retroperitoneal space, performed for some other reasons. Over past 2 decades, frequency detection gland has increased 10-fold, most them diagnosed in old age. tactics observation treatment depend both on hormonal activity malignant potential formation. Up to 58% patients with incidentalomas have a nature, higher risk young patients, size more than 4 cm, as well history neoplasms. classical clinical laboratory picture hypercorticism, hyperaldosteronism or catecholamine-producing tumor is less 15%, however, phenomenon functionally autonomous cortisol production according results studies conducted last few years much common up 3050% patients. Despite absence vivid symptoms cases, secretion associated cardiovascular morbidity metabolic disorders, therefore, all need exclude this condition. This article presents cases formations, describes detail algorithm choice tactics, taking into account since release latest recommendations management 2016.