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Clinically inapparent adrenal masses are discovered inadvertently, in the course of diagnostic testing or
treatment for other conditions, and thus are commonly known as incidentalomas. Improvements in
abdominal imaging techniques and technologies have resulted in the detection of an increasing number
of adrenal incidentalomas.
When detected, the clinically inapparent adrenal mass raises challenging questions for physicians and
their patients. For example, should the mass be removed? Is a nonsurgical approach indicated? What
risks are associated with either approach? Because the incidence of these masses increases with age,
appropriate management of adrenal tumors will be a growing challenge in our aging society.