Status:

UNKNOWN

Effect of Surgical or Conservative Approach in Patients With Adrenal Incidentalomas

Lead Sponsor:

Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

Collaborating Sponsors:

Casa Sollievo della Sofferenza IRCCS

I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio

Conditions:

Adrenal Incidentaloma

Subclinical Hypercortisolism

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

Subclinical hypercortisolism (SH) is a status of asymptomatic hypercortisolism, frequently found in patients with adrenal adenomas (estimated prevalence: 0.8-2% after 60 years of age). Although SH may...

Detailed Description

Subclinical hypercortisolism (SH) is a status of asymptomatic hypercortisolism, which is present in up to the 30% of patients with incidentally discovered adrenal adenomas (adrenal incidentalomas, AI)...

Eligibility Criteria

Inclusion

  • unilateral adrenal incidentaloma larger than 1 cm
  • cortisol after 1-mg overnight dexamethasone suppression test (1mgDST) between 1.8 and 5 mcg/dl

Exclusion

  • hypogonadism, thyrotoxicosis, chronic renal failure and hepatic disease, alcoholism, eating, rheumatologic or hematological disorders;
  • intake of drugs influencing cortisol and dexamethasone metabolism or cortisol secretion;
  • signs of hypercortisolism (moon facies, striae rubrae, easy bruising);
  • possible metastatic disease or radiologic features not consistent with adrenocortical adenoma at computed tomography (CT);
  • pheochromocytoma and aldosteronoma;
  • non-adrenal SH.

Key Trial Info

Start Date :

September 29 2016

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 8 2022

Estimated Enrollment :

61 Patients enrolled

Trial Details

Trial ID

NCT04860180

Start Date

September 29 2016

End Date

December 8 2022

Last Update

April 26 2021

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