Table 1.
Population-based or nationwide cohorts2,3 | Endocrine clinic and radiology referral cohort13,39–41 | Adrenalectomy cohort3,13,29,42–51 | Congenital adrenal hyperplasia11 | |
---|---|---|---|---|
Proportion of all adrenal tumours | 3.3–3.6% | 1.8–6.5% | 4–10% of all adrenal tumours 15–20% of large adrenal tumours > 4 cm |
25.4% (all CAH) 36.6% (genetically verified CAH) |
Proportion of benign adrenal tumours | 3.7% | - | - | Same as above |
Median age at diagnosis, years | - | 60–65 | 50–55 | 44 |
Female sex | - | 45% | 35–75% | 35.7% |
Mode of discovery:
Incidental Symptoms of mass effect Other |
95% 0% 5% |
86% 5% 9% |
35–70% 20–50% 2–5% |
Almost all occur due to poor hormonal control with either incidental discovery, or based on symptoms of mass effect |
Median tumour size at diagnosis | - | 2 – 4 cm | 5–7 cm | 10.2 cm |
Bilateral
Unilateral |
- | 5% 95% |
5–10% 90–95% |
59.6% 40.4% |
CAH, congenital adrenal hyperplasia.