Adrenal tumour diagnostic pathway: findings from a national survey in the United Kingdom

Background: Currently, there is very limited information on referral patterns, diagnostic workup, and management of adrenal tumours (ATs) across secondary and tertiary endocrine centres in the UK. Objective: To evaluate current practices in assessing and managing ATs across the UK, including diagnostic pathways and adherence to international guidelines on screening of patients with newly diagnosed ATs. Methods: A 12-item web-based survey was distributed to members of the Society for Endocrinology, UK (approximately 1,600 contacts), capturing centre characteristics, number of patients with ATs, and diagnostic strategies. Results: In total, 85 responses representing 80 centres were analysed. Over 45% of respondents, mainly from tertiary centres, reported more than 100 annual referrals. Malignancy rates were