علاج الورم الكظري الأحادي الجانب مع فرط الهرمونات ذي الأهمية السريرية

References

DOI: 10.1093/ejendo/lvad066

• We recommend adrenalectomy as the standard of care for unilateral adrenal tumors with clinically significant hormone excess.
• If surgery is indicated for a benign adrenal mass causing hormone excess (including MACS), we recommend that a minimally invasive approach is used.
• We recommend perioperative glucocorticoid treatment at surgical stress doses in all patients undergoing surgery and a preoperative morning serum cortisol >50 nmol/L (1.8 µg/dL) after a 1 mg overnight dexamethasone test.
• Due to this uncertainty, the group is clearly in favor of intra- and postoperative glucocorticoid replacement, preferably by hydrocortisone in patients with an adrenal tumor and lack of suppression of serum cortisol on dexamethasone testing.