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Whereas most unilateral masses are benign or nonfunctional, the bilateral adrenal mass is more likely metastatic disease, hemorrhage, infiltrative disease, congenital adrenal hyperplasia, macronodular Cushingâs syndrome, or bilateral cortical adenomas [ 5 ].n the case of the bilateral adrenal incidentaloma, patients who present with symptoms such as hypotension, dizziness, weight loss, or abdominal pain in the setting of bilateral adrenal masses should be evaluated for adrenal insufficiency using an ACTH stimulation test (Table 1).
Benign adrenal tumors are noncancerous masses that form in the adrenal glands. As part of your endocrine system, the adrenal glands produce hormones that give instructions to virtually every organ and tissue in your body.You have two adrenal glands, one above each kidney. Each gland contains two types of tissue: the cortex and the medulla.Benign adrenal tumors that develop in the cortex are also called adrenal adenomas. Benign adrenal tumors that develop in the medulla are also called pheochromocytomas (fee-o-kroe-moe-sy-TOE-muhs).ou have two adrenal glands, one above each kidney. Each gland contains two types of tissue: the cortex and the medulla. Benign adrenal tumors that develop in the cortex are also called adrenal adenomas. Benign adrenal tumors that develop in the medulla are also called pheochromocytomas (fee-o-kroe-moe-sy-TOE-muhs).