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Stewart says: Firstly, a retrospective analysis of 53 patients with adrenal incidentaloma in the setting of hypercortisolism that failed to suppress to below 1.8 g/dL following a 1-mg overnight dexamethasone suppression test (note I am deliberately avoiding the term mild autonomous cortisol secretion or MACS): 31 patients received surgery, 22 did not and were followed conservatively
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