Editing Adrenal lesions (section)

== '''Indications for resection:''' ==

* Hormonally active
* Concerning for malignancy     (according to American Association of Clinical Endocrinologists, any     lesion with concerning radiographic characteristics as well as most     lesions 4cm or larger should be resected because of increased cancer risk     - but not including myelolipomas)
** Sabiston suggests remove all      >4cm in fit patients, since CT/MRI underestimate lesion size by 20%
* Relative indications
** Strongly consider removal of      those 3-4cm, especially in young patients
** Suspicious imaging      characteristics, such as heterogeneity, or HU >20
** Growth on interval imaging
** Patient preference