Hormonal evaluation was done in only around half of our cohort, but then only a quarter had all adrenal hormones (serum/plasma cortisol post-dexamethasone, metanephrines and aldosterone/renin ratio if hypertension or hypokalemia are present) done which are recommended when evaluating adrenal tumors [7]. This evidence concerns the gene REN and adrenal gland neoplasm.