Table 47.3—Screening Tests for Hormone Hypersecretion in Patients With Adrenal Incidentalomas
|
Diagnosis |
Test |
Indications |
|
Functional adrenocortical adenoma |
24-hour urine free cortisol 1 mg overnight dexamethasone suppression test |
Cushing’s syndrome manifestations Before major surgery |
|
Pheochromocytoma |
24-hour urine metanephrines and catecholamines Plasma metanephrines |
Patients with incidentaloma |
|
Primary aldosteronism |
Serum potassium Ratio of morning plasma aldosterone concentration to plasma renin activity |
Hypertension |