An adrenal adenoma is a benign (non-cancerous) tumor that forms in the adrenal glands, which are responsible for producing essential hormones like cortisol, aldosterone, and adrenaline. While many adrenal adenomas are non-functioning and do not cause symptoms, some are hormone-secreting (functional adenomas) and can lead to serious health complications such as high blood pressure, metabolic disorders, and hormonal imbalances. Under the expert care of Dr. Pruthvi Raj Honnaiah, patients receive comprehensive evaluation and state-of-the-art treatment for adrenal tumors.

Types of Functional Adrenal Adenomas

Adrenal adenomas may secrete excess hormones, leading to specific conditions:

• Aldosterone-Producing Adenoma (Conn’s Syndrome): Causes high blood pressure, low potassium levels, and muscle weakness.
• Cortisol-Producing Adenoma (Cushing’s Syndrome): Leads to weight gain, high blood sugar, osteoporosis, and excessive hair growth.
• Androgen- or Estrogen-Secreting Adenomas: Cause hormonal imbalances, leading to irregular menstrual cycles in women or excess hair growth in men.

Symptoms of Adrenal Adenoma

The symptoms depend on whether the adenoma is functional or non-functional. Common signs include:

• Uncontrolled or resistant high blood pressure
• Unexplained weight gain, especially around the face and abdomen
• Muscle weakness, frequent cramps, or fatigue
• Irregular menstrual cycles or excess hair growth in women
• Osteoporosis and easy bruising (due to cortisol overproduction)
• Mood changes, anxiety, or depression

Diagnostic Approach

At Dr. Pruthvi Raj’s clinic, the diagnosis of adrenal adenomas involves a combination of imaging and hormonal tests:

Blood & Urine Tests:

• Cortisol, Aldosterone, and Renin Levels – To detect hormone overproduction.
• 24-hour Urinary Free Cortisol Test – For Cushing’s syndrome.
• Dexamethasone Suppression Test – To evaluate excess cortisol production.

Imaging Studies:

• CT Scan or MRI of the Adrenal Glands – To assess tumor size and characteristics.
• Adrenal Vein Sampling (AVS) – To differentiate between unilateral and bilateral adrenal involvement.

Treatment Options for Adrenal Adenoma

The management of adrenal adenomas depends on whether they are functional or non-functional:

For Functional Adenomas (Hormone-Secreting):

• Minimally Invasive Laparoscopic Adrenalectomy –
• Surgical removal of the affected adrenal gland is the gold-standard treatment.
• Helps restore hormonal balance and prevent complications like high blood pressure or metabolic disorders.
• Medical Management (for Mild Cases):
• Aldosterone Antagonists (Spironolactone, Eplerenone) for aldosterone-producing tumors.
• Medications to control cortisol production in Cushing’s syndrome if surgery is not an option.

For Non-Functional Adenomas:

• Regular Monitoring – Small, non-secreting adenomas (≤4 cm) may not require immediate treatment but need periodic imaging and hormonal tests.
• Surgical Removal if Tumor Grows – Surgery is recommended if the adenoma increases in size or begins producing hormones.

Why Choose Dr. Pruthvi Raj for Adrenal Adenoma Treatment?

With expertise in adrenal disorders, minimally invasive surgery, and laparoscopic adrenalectomy, Dr. Pruthvi Raj Honnaiah provides precise diagnosis and advanced treatment tailored to each patient. His patient-centric approach ensures long-term hormonal balance and optimal health outcomes.