Adrenal Incidentalomas: Diagnostic, Etiological and Therapeutic Aspects

Introduction: Adrenal incidentalomas have been increasingly diagnosed, thanks to advances in medical imaging and its growing use in the general population. They represent a diagnostic challenge due to their heterogeneous nature and malignant potential. This work illustrates the importance of optimal and appropriate management and, above all, of limiting exploration and morphological follow-up when the mass is initially benign in appearance. Patients and Methods: In a retrospective study spanning 12 years and including a total of 25 patients, all had an adrenal mass discovered incidentally. Results: In our study, adrenal incidentalomas had a prevalence of 11.27%, with a mean age of 54.9 years, and were mainly discovered incidentally during abdominal imaging. Clinical, hormonal and radiological evaluation, dominated by the use of a CT scan in 80% of cases, identified mostly non-functional adenomas in 64% of cases, pheochromocytoma, Conn’s adenoma, MACS in equal proportions, with appropriate management based on risk of malignancy or hormonal activity. Ethical Considerations: in accordance with the regulation in force, informed consent, written and verbal, was provided by the patients concerned by the study.