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UMHS Home/Logo Consult Request Guidelines

for Adrenal: Adrenal Mass

   
Adrenal: 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
  • If known adrenal cancer, please use REF319 to the Cancer Center Endocrine Clinic (Multidisciplinary Endocrine Oncology Program.
Suggested Additional Test/Management Prior to Specialty Visit

Please place an order for the following tests:

  • Basic Metabolic Panel, BASIC (LAB15):
  • Cortisol, CORT (LAB61) :
  • Adrenocorticotropic Hormone, ACTH (LAB511):
  • Free Cortisol, 24 Hr Urine, UFC (LAB382): OR
  • CORT/ACTH overnight 1 mg dexamethasone suppression test (dexamethasone 1 mg po at 11 p.m. and obtain cortisol and ACTH at 8 a.m. the following morning. Normal cortisol suppression is <1.8 mcg/dL)
  • Metanephrine and Normetanephrines, Plasma, PMET (LAB3365): OR
  • Metanephrines, 24 Hr Urine (LAB409):
  • If hypertension and/or hypokalemia:
      • Renin, PRA (LAB532):
      • Aldosterone, Serum, SALDO (LAB557):
  • Imaging: 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) http://www.uofmhealth.org/conditions-treatments/adrenal-nodules
Appointment Timeframe Will be triaged by intake. Appointments are generally within several weeks. Please indicate if there is a reason you need an urgent appointment.
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: 03/23/2017