Approach to adrenal masses Quiz: Ace Your Exams
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A 58-year-old man presents to the primary care clinic for follow-up. Recent computed tomography (CT) of the abdomen revealed an incidental adrenal mass. Subsequent magnetic resonance imaging (MRI) showed a 5 cm mass with an irregular shape and borders, hypervascularity, and scattered calcifications. The patient otherwise feels well and has no symptoms. There is no significant past medical history, and no medications are taken. Temperature is 37.3ºC (99.1ºF), pulse is 72/min, respiratory rate is 14/min, blood pressure is 140/85 mmHg, and SpO2 is 98% on room air. On physical examination, the patient appears well. Cardiopulmonary examination is normal. The abdomen is soft, non-distended, and non-tender to palpation. Which of the following is the most appropriate treatment for this patient’s adrenal lesion?
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