BACKGROUND: Casual detection of an adrenal mass, the so called incidentaloma (AI) requires an in-depth analysis of imaging phenotype together with hormonal investigation, in order to evaluate both its potential @entity5 and the occurrence of a preclinical condition of @entity699 ( @entity699 , @entity4886 ). Aim of the present work is to evaluate surgical indications and results of surgery in @entity1 harbouring an AI with inapparent @entity699 . METHODS: The study has been carried on in a series of 26 Laparoscopic Adrenalectomies (LA) performed from January 2009 and January 2015. Indications to surgery included AI (11 cases), @entity699 (7 cases), suspected @entity3 (5 cases) and @entity822 (3 cases). Six @entity1 with AI had a @entity4886 associated with variable forms of a @entity209 : they were evaluated in detail analysing @entity701 secretion and values of Arterial @entity101 , @entity6 and BMI before and after surgery. RESULTS: As far as @entity4886 is concerned, LA was completed in 5 @entity1 (one case converted). Pathology revealed 5 @entity652 and one @entity4383 . Four cases required oral @entity821 administration at the discharge. At a mean follow- up of 33 months @entity701 secretion returned to normal range in all @entity1 ; an improvement of metabolic condition was observed in 60, 25, and 50 per cent of @entity101 , @entity6 @entity1 respectively. CONCLUSION: Indications to LA in case of AI and @entity4886 is strongly supported by the presence of an associated @entity209 . In spite of a limited number, our experience confirms the favourable results of surgery in such @entity1 . KEY WORDS: @entity700 , Laparoscopic adrenalectomies, Subclinical @entity699 .

XXXX and subclinical @entity699 : indications to surgery and results in a series of 26 laparoscopic adrenalectomies.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity821 :: ('MESH:D003348', 'Chemical') :: ['cortisone'] @entity101 :: ('MESH:D006973', 'Disease') :: ['Hypertension', 'hypertensive'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetes Mellitus', 'diabetic and obese'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity4886 :: ('MESH:D000168', 'Disease') :: ['SCS'] @entity699 :: ('MESH:D003480', 'Disease') :: ["Cushing's syndrome", 'hypercortisolism', 'Cushing syndrome', 'Subclinical Cushing Syndrome'] @entity700 :: ('MESH:C538238', 'Disease') :: ['Adrenal incidentaloma'] @entity701 :: ('MESH:D006854', 'Chemical') :: ['cortisol'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases'] @entity4383 :: ('MESH:D020518', 'Disease') :: ['nodular hyperplasia'] @entity209 :: ('MESH:D008659', 'Disease') :: ['metabolic syndrome'] @entity822 :: ('MESH:D018246', 'Disease') :: ["Conn's disease"] @entity652 :: ('MESH:D000236', 'Disease') :: ['adenomas']
@entity700 :: (MESH:C538238,Disease) :: ['Adrenal incidentalomas']
