This protocol covers the clinical scenario of a unilateral adrenal mass measuring 6 cm or less that carries radiological characteristics suspicious of malignancy, with no evidence of local invasion on imaging.
The setting addressed here is a unilateral adrenal mass with imaging findings raising suspicion for malignancy, a maximum diameter of 6 cm, and an absence of local invasion on radiological assessment. This combination of features defines a specific decision point in adrenal mass management.
A minimally invasive surgical approach is indicated in this setting. The complete protocol specifies the required surgical expertise, the precise procedural criteria, and further management detail not shown here.
DOI: 10.1093/ejendo/lvad066
We suggest that minimally invasive adrenalectomy is performed by an expert high-volume adrenal surgeon in patients with unilateral adrenal masses with radiological findings suspicious of malignancy (R.2.4-2.6) and a diameter ≤ 6 cm, but without evidence of local invasion (⊕○○○).
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