Korean J Med.
2017 Feb;92(1):4-16. 10.3904/kjm.2017.92.1.4.
Guidelines for the Management of Adrenal Incidentaloma: the Korean Endocrine Society, Committee of Clinical Practice Guidelines
- Affiliations
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- 1Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. sjyoo@catholic.ac.kr
- 2Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea. ykshong@amc.seoul.kr
- 3Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea.
- 4Department of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
- 5Department of Internal Medicine, CHA University, Seongnam, Korea.
- 6Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea.
- 7Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
- 8Department of Internal Medicine, Yonsei University Wonju College of medicine, Wonju, Korea.
- 9Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea.
- KMID: 2376938
- DOI: http://doi.org/10.3904/kjm.2017.92.1.4
Abstract
- An adrenal incidentaloma is an adrenal mass found in an imaging examination performed for reasons unrelated to suspected adrenal disease. The prevalence of adrenal incidentaloma increases with age; there is no gender difference, but it is often accompanied by obesity, diabetes mellitus, or hypertension. The detection of adrenal incidentaloma is expected to rise with the rapid development of imaging technology and increasing frequency of imaging studies. The Korean Endocrine Society is promoting appropriate practice guidelines to meet the rising incidence of adrenal incidentaloma, in cooperation with the Korean Adrenal Gland and Endocrine Hypertension Study Group. In this paper, we discuss important core issues for treating adrenal incidentaloma, along with the most important factors for healthcare providers who treat and manage affected patients. Initially, we identified 47 recommendations using the Delphi technique, after evaluating core propositions. We reduced these to the 20 most critical recommendations.
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