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UMHS Home/Logo Consult Request Guidelines

for Incidentally Discovered Adrenal Mass

Incidentally Discovered Adrenal Mass
Suggested Pre-Referral Evaluation and Management Guidelines Criteria for referral
  • Patients with abnormal biochemical screening
  • Adrenal mass >2.5 cm
  • Lipid poor adrenal mass (by CT or MRI)
Do not refer:
  • Patients with lipid rich adrenal mass <2.5 cm that have normal biochemical screening
Suggested Additional Test/Management Prior to Specialty Visit Tests required for referral
  • 24 hour urinary cortisol or overnight 1 mg dexamethasone suppression test (normal <1.8 mcg/dL)
  • Plasma or 24 h urine metanephrines
  • If hypertension and/or hypokalemia, obtain plasma renin and aldosterone (cut-off for referral is aldosterone >10 ng/ml AND renin < 1 ng/ml/h)
  • Adrenal CT scan or MRI images (CD) and report must be brought to the visit. Noncontrast CT or adrenal-protocol CT preferred.
Patient Education/Information (includes preps)
Appointment Timeframe If adrenal cancer suspected, please request expedited referral or explain reason
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit
Clinic Contact Information Physicians: 800-962-3555
Patients: 866 266-5211
Clinic Location Sites The primary site for Incidentally Discovered Adrenal Mass care is the Domino?s Farms MEND ACU. Patients are also seen at Brighton, Saline, Chelsea, East Ann Arbor, Northville UM Health Care Centers.

Domino's Farms
Brighton Health Center
Chelsea Health Center
East Ann Arbor Health Center
Northville Health Center
Saline Health Center

If concurrent surgical evaluation also requested for adrenal tumor, refer to Endocrine Oncology
UM Consulting Physician MEND Faculty
Revised on: 08/11/2016