Advanced

Nationellt vårdprogram för adrenala incidentalom : Programmet har harmoniserats med europeiska riktlinjer – ger förenklad handläggning av patienter

Muth, Andreas; Hammarstedt, Lilian; Hellström, Mikael; Nyman, Ulf LU ; Sundin, Anders; Wahrenberg, Hans and Wängberg, Bo (2017) In Lakartidningen 114(43-44).
Abstract

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. Longterm 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... (More)

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. Longterm 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.

(Less)
Please use this url to cite or link to this publication:
author
organization
alternative title
Swedish guidelines for the management of adrenal incidentalomas
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
114
issue
43-44
publisher
Swedish Medical Association
external identifiers
  • scopus:85032192771
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
bbdfb20f-03d1-4647-9440-df744f86ecb7
date added to LUP
2017-11-08 10:44:59
date last changed
2018-01-07 12:25:23
@article{bbdfb20f-03d1-4647-9440-df744f86ecb7,
  abstract     = {<p>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. Longterm 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 &lt;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.</p>},
  author       = {Muth, Andreas and Hammarstedt, Lilian and Hellström, Mikael and Nyman, Ulf and Sundin, Anders and Wahrenberg, Hans and Wängberg, Bo},
  issn         = {0023-7205},
  language     = {swe},
  month        = {10},
  number       = {43-44},
  publisher    = {Swedish Medical Association},
  series       = {Lakartidningen},
  title        = {Nationellt vårdprogram för adrenala incidentalom : Programmet har harmoniserats med europeiska riktlinjer – ger förenklad handläggning av patienter},
  volume       = {114},
  year         = {2017},
}