Christian Trolle, Atul Shukla, Kirsten Alstrup, Andreas Kaal, Stefan Harders, Klavs Würgler Hansen & Per Løgstrup Poulsen
Ugeskr Læger 2020;182:V04200291
With wider application and technical improvement of imaging the discovery of adrenal incidentalomas (AI) has been skyrocketing. AI need to be investigated for evidence of hormonal hypersecretion and malignancy, and this causes a considerable use of health resources and potential medicalisation. In the "no-need-to-see" process, the clinical assessment of the citizen will only take place, if the diagnostic tests are abnormal. In this review, we examine the predictive values of imaging and paraclinical testing and argue, that normal test results in people without extra-adrenal cancer exclude disease.