Metastases to the adrenal glands often appear completely asymptomatic and tend to be detected randomly during examinations of oncological patients. Nevertheless, they can have a major impact on further treatment as well as prognosis. Early recognition and the correct diagnostic-therapeutic approach are key.
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Metastases to the adrenal glands are a fairly common finding in oncological patients, often bilateral, and their presence can fundamentally affect the further diagnostic and therapeutic procedure. In patients with an already diagnosed primary tumor, metastases to the adrenal glands occur in up to 20% of cases. Conversely, in patients without a prior diagnosis of malignancy, metastatic adrenal involvement is very rare (less than 0.5% of cases).
Clinical manifestations varies according to the histological type of tumor. While benign lesions are often asymptomatic and found incidentally, some malignant forms present with systemic symptoms such as fatigue, weight loss, B-symptoms or manifestations of adrenal insufficiency (especially in bilateral lesions — e.g. primary adrenal lymphoma).
Every case is different. If you are not sure how to proceed further in a patient with a suspected adrenal tumor, please contact us. Together, we will assess the situation and recommend the next professional procedure — quickly, factually and in partnership.
Indication only in patients in whom further treatment or prognosis would be affected. It is always necessary first exclude pheochromocytoma.
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