Adrenal tumors

Introduction to adrenal tumors
Adrenal tumors may arise from the cortex (adrenocortical tumors) or the medulla (pheochromocytoma), but other diagnoses may also be present. (metastases from other sources, sarcoma, hematoma etc). An overview of these tumors follows.

General overview of adrenal tumors
Adrenal tumors are most often discovered as an incidentaloma, i.e. accidentally in conjunction with imaging of the abdomen due to other causes (abdominal pain, trauma, suspicions of pulmonary embolism etc). Other reasons may be after imaging in patients with hypertension, flush, tachycardia or in patients with the Cushing’s syndrome, or rarely in patients with a palpable tumor in the abdomen. Basal investigations may be performed in the local health service/hospital, but advanced treatment and surgery should be centralized.

Adrenal tumors may be divided into the following types – which links to different sections in the present website:

  1. Incidentaloma
  2. Primary aldosteronism (including Conn adenoma)
  3. Cortisol-producing adrenal tumors (ACTH-independent Cushing)
  4. Adrenocortical cancer
  5. Pheochromocytoma / paraganglioma
  6. Miscellanoeus (sarcoma, hematoma, ganglioneuroma, myelolipoma)