Endocrine Abstracts

Adrenal incidentalomas are an increasingly common source of referral to our endocrine services. In most cases, simple radiological and biochemical assessment and patient reassurance are all that is required. The cases that do not require further evaluation will be summarised briefly. However, an increasing number of adrenal adenomata do require careful consideration and complex discussion, usually through an adrenal MDT. I will use a series of real life cases that have resulted in challenging debate through our national adrenal MDT. In particular, I will focus on the approach to adrenal metastases, role of adrenal biopsy, minor autonomous cortisol excess and bilateral adrenal nodules. Hopefully, a combination of real life experience as well as recent updated European guidelines in this area will help inform our approach to these difficult but common clinical questions.