Discontinuation of CT in nonfunctioning incidentaloma

René Rodríguez-Gutiérrez

Would you recommend discontinuation of regular computed tomography scans in a patient with a nonfunctioning incidentaloma and no tumor growth over 3- or 5-year follow-up?

René Rodríguez-Gutiérrez: I will say yes. The recommendation is to do it at least once in the first year, in 6 to 12 months, and after that—there are people who have a very low number of Hounsfield units, and we are very sure it is a benign [incidentaloma], it is 1.1 [cm], and [there are] no other symptoms of anything, all the other tests have been negative, and at 1 year you see the same size, then some will say you can stop and you do not need to follow up that patient. Even with more certainty, I think, once you do that for 5 years and you see that it is pretty much the same, it is fair to let the patient forget about this.

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