management of adrenal masses in children and adults pdf hosq

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==> management of adrenal masses in children and adults pdf <==

Management of adrenal masses in children and adults involves a comprehensive approach that includes diagnostic evaluation, surveillance, and, when necessary, surgical intervention. Initially, imaging studies such as ultrasound, CT, or MRI are used to characterize the mass and assess its size, location, and potential for malignancy. In children, adrenal masses are often benign, with neuroblastoma being a common diagnosis, while in adults, adrenal tumors can range from benign adenomas to malignant adrenal carcinomas. Hormonal evaluation is also crucial, as functional tumors may lead to conditions like Cushing's syndrome or hyperaldosteronism, necessitating specific treatments. For masses that are suspected to be malignant or symptomatic, surgical resection is typically recommended. In cases of benign masses without hormonal activity, a watchful waiting approach may be adopted, especially if the mass is small and asymptomatic. Follow-up imaging and hormonal assessments are essential for monitoring changes over time. Multidisciplinary collaboration among endocrinologists, radiologists, and surgeons is vital to optimize outcomes and tailor management strategies based on individual patient factors, such as age, overall health, and the characteristics of the adrenal mass.