Chinese expert opinions on the diagnosis, treatment, and health management of adrenal incidentalomas in the elderly(2025 edition)
10.3760/cma.j.issn.0254-9026.2025.12.002
- VernacularTitle:老年人肾上腺意外瘤诊治及保健中国专家意见(2025版)
- Author:
Shuang LI
1
;
Youshuo LIU
;
Lan LUO
;
Shuang WANG
Author Information
1. 中南大学湘雅二医院老年医学科 中南大学衰老与老年疾病研究所，长沙 410011
- Publication Type:Journal Article
- Keywords:
Adrenal glands;
Risk assessment;
Adrenal incidentalomas
- From:
Chinese Journal of Geriatrics
2025;44(12):1635-1639
- CountryChina
- Language:Chinese
-
Abstract:
Adrenal incidentalomas in the elderly individuals refer to adrenal nodules with a diameter ≥ 1 cm that are unexpectedly discovered in elderly patients during health check-ups or imaging examinations performed for non-adrenal-related conditions.The prevalence of adrenal incidentalomas in the elderly increases with age, exceeding 7% in individuals over 70 years old.Comprehensive evaluation including malignancy risk assessment, functional status determination, surgical indication selection, and follow-up monitoring is critical for optimizing the clinical management pathways for elderly patients with adrenal incidentalomas and improving their outcomes.In light of this, the Chinese Expert opinions on the diagnosis, treatment, and health management of adrenal incidentalomas in the elderly(2025 edition)was established, which systematically summarizes the screening approaches, diagnostic procedures, and treatment algorithms of adrenal incidentalomas in the elderly population while providing expert suggestions, with particular emphasis on age-specific diagnostic strategies and follow-up protocols.These opinions serve as a valuable reference for standardizing adrenal incidentalomas management in the elderly among geriatricians, endocrinologists, radiologists, and urologists.
