Question 85 · LEK · Adrenal incidentaloma
A patient is referred to the surgical outpatient clinic because of two tumours: one in the right adrenal gland with the diameter of 4.8 cm and the other in the left adrenal gland with the diameter of 2.1 cm (described as probable adenoma in CT). Laboratory tests excluded hormonal activity of the tumours. Which of the following is the management of 29 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php choice in this patient?
- A. left adrenalectomy.
- B. right adrenalectomy.
- C. bilateral adrenalectomy.
- D. fine-needle aspiration biopsy of both tumours.
- E. observation and reevaluation after 12 months.
Hint
For hormonally inactive incidentalomas, the size threshold that raises suspicion of malignancy decides which gland needs surgery.
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