If the patient has non-functional benign adrenal nodules, regular review is sufficient; if the adrenal nodules are functional or considered to be malignant, they can be treated by drugs or surgery.
Generally speaking, if the patient’s adrenal nodules are mostly small in size and non-functional, usually no treatment is needed, and regular rechecks of adrenal CT and related hormone levels are sufficient. The majority of patients are found when they have an inadvertent CT and do not have abnormal adrenal secretion or hypoadrenalism.
Adrenal nodules should be monitored for excessive production of adrenal hormones, such as aldosterone, cortisol, and gonadal hormones, and should be used as a precautionary measure against conditions such as primary aldosteronism and Cushing’s syndrome.
The presence or absence of a functioning adrenal nodule can be determined by monitoring blood cortisol levels, 24-hour urinary cortisol, aldosterone, and renin ratios, and by examining the adrenal gland in both the upright and prone positions. If the nodule is benign and non-functional, adrenal CT should be repeated periodically, and if it is functional or malignant, treatment should be carried out, including oral medication and surgery, etc. It is recommended that patients with thickened adrenal nodules should have their adrenal glands examined regularly.
It is recommended that patients with adrenal nodules should go to regular hospitals in time.