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A 36-year-old member asked:

When is it reasonable to demand the removal of an adrenal tumor?

2 doctor answers9 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Activity, Size: Any adrenal tumor that is producing excessive amounts of adrenal hormones requires treatment; this can be determined by a battery of blood and urine tests. If the tumor is "non-functioning" (as most are), removal is dependent upon size: those under 4cm can be watched; those over 6cm should be removed; for those "in the middle", it depends upon what it looks like by ct or MRI criteria.
Dr. Richard Orr
Dr. Richard Orr commented
Surgical Oncology 44 years experience
Removal of an adrenal is safe in experienced hands, but no operation is trivial. I agree with Dr. Rosen 100%. If your tumor is small and non-functioning, leave it alone. If functioning or appears malignant on CT or is large - find an experienced surgeon.
Mar 7, 2012
Dr. Richard Orr
Surgical Oncology 44 years experience
Never: It is never reasonable to demand a surgical procedure. If you disagree with the recommendation that you have received, solicit other opinions. Regarding adrenal masses. Many are small and do not produce hormones. In most cases, they can be safely followed by ct.

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Last updated May 6, 2017

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