Had abdominal CT scan for colon, which revealed adrenal tumors. Do they require surgery?
These are known as incidentalomas.
Dear XXXXX, Hi, I am sure you must be having some other name and this is just your online id. As you have undergone whole abdomen CT for colon polyps and incidentally found adrenal masses ~1 cm , non functional, they are known as incidentalomas. You need not worry about them or undergo any surgery for them. these will not interfere with your daily functioning or quality of life.
a little work up is advised to rule out any problem i.e. Serum cortisol , fasting state, between 8am - 9 am., serum ACTH, serum electrolytes, and you can keep a follow up.
This is happening EVERY night after about 4-4.5 hours and I cannot fall back to sleep afterwards...this makes me have fatigue during the day, has disrupted my thought patterns and generally has deteriorated my quality of life.
If the adrenalectomy is not truly necessary can this symptom be managed in another way? I've had a friend recommend medical cannibus. Please advise. Thanks again!
Need detailed evaluation.
Dear Sir, as you earlier said there were no symptoms and you incidentally found those adrenal tumors, I called them incidentalomas. As all your symptoms appeared after your incidental finding of these tumors, I am sorry, I took it to be more functional than organic. But if you had such paroxysm previously as well and they are really troubling you then these adrenal masses may not be incidentalomas. They may be anything like phaeochromocytomas or adrenal adenomas which may be functional. you need to get your Blood Pressure monitored, 24 hour urinary free cortisol, serum cortisol, Urinary metanephrines, Urinary VMA, serum electrolytes, and may be even MIBG scan to rule out any of the above mentioned conditions. If any one of them is diagnosed then surgery is the only answer. Regards and all the best.