Question

A 50-year-old man has an incidental finding of a 3 cm adrenal mass on CT scan. His blood pressure is 170/100 mmHg, with episodes of palpitations and headaches. Biochemical tests show elevated plasma metanephrines. What is the next best step in management?

Accepted Answer

Alpha-blockade followed by beta-blockade and surgical resection

Answer

Start a beta-blocker

Answer

Surgical resection without further therapy

Answer

MRI spine

Answer

Watchful waiting

Practice question

A 50-year-old man has an incidental finding of a 3 cm adrenal mass on CT scan. His blood pressure is 170/100 mmHg, with episodes of palpitations and headaches. Biochemical tests show elevated plasma metanephrines. What is the next best step in management?