Second opinion

You are welcome to request a second opinion on an adrenal mass, hormone testing or planned adrenalectomy. A second opinion is a normal part of specialist care and is not a commitment to change treating team.

How to request one

There are two straightforward ways to reach the rooms:

What helps the review

When you contact the rooms, letting them know the following up front makes the appointment more useful:

  • A current GP or specialist referral (required for Medicare rebates).
  • Recent imaging reports (CT, MRI, ultrasound, PET if done). A copy of the images themselves is ideal.
  • Hormone results to date: plasma or urinary metanephrines, dexamethasone suppression, aldosterone-to-renin ratio.
  • A list of current medications, particularly blood pressure medications and steroids.
  • Any prior surgical or pathology reports.

What a second opinion covers

  • Review of the imaging and hormone testing to date.
  • Confirmation (or revision) of the working diagnosis.
  • Discussion of whether surgery is indicated, and if so which approach suits the tumour.
  • Discussion of alternatives - active surveillance for small incidentalomas, medical management for bilateral aldosteronism, or referral for systemic therapy where appropriate.
A second opinion does not commit you to anything. If, after review, continuing with your existing team is the right plan, that is also a good outcome.

Considering adrenal surgery?

You can request a second opinion on imaging, hormone testing and treatment options before you decide.