Part of “CHAPTER 89 – SURGERY OF THE ADRENAL GLANDS“

Surgical resection is the primary treatment for adrenal tumors that are functionally active or potentially malignant (Table 89-1). In general, adrenalectomy is indicated for functional cortical adenomas causing Cushing syndrome or primary aldosteronism, virilizing or feminizing tumors, adrenocortical carcinoma, pheochromocytoma, and incidental solid adrenal masses that are >6 cm in diameter on computed tomographic (CT) scan. Laparoscopic adrenalectomy has become the procedure of choice for solitary benign functional adenomas or pheochromocytomas that are small. Open resection is required for large masses (>5–6 cm in diameter) and cancers.