#519 Mild Autonomous Cortisol Secretion

#519 Mild Autonomous Cortisol Secretion

From The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

March 30, 2026 · 1h 14m

About this episode

This episode focuses on mild autonomous cortisol secretion and its management, featuring expert Dr. Irina Bancos.

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos ( @irinabancos ), an internationally renowned adrenal expert! Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Advice for listeners Adrenal incidentaloma Definition (Case 1) Hormonal workup for adrenal incidentalomas Defining mild autonomous cortisol secretion (MACS) Significance and prevalence of MACS Diagnostic testing for MACS Treatment options for MACS (surgery vs. comorbidity management) Post surgical management of MACS (Case 2) Diagnostic testing for adrenal insufficiency (AI) Glucocorticoid withdrawal syndrome management Deciding when patients are able to come off of steroids after AI Outcomes after adrenalectomy in MACS Take home points Credits Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD. Producer, writer, show notes, and CME: Mobeen Ahmad MD Cover art and infographic: Kate Grant MBChb, MRCGP…

People in this episode

Hosts: Matthew Watto, Paul Williams

Guest: Irina Bancos

Topics covered

  • cortisol
  • adrenal tumors
  • mild autonomous cortisol secretion
  • diagnostic testing
  • treatment options
  • surgical management
  • adrenal insufficiency

Keywords

  • cortisol
  • adrenal tumors
  • MACS
  • diagnostic testing
  • treatment options
  • adrenal insufficiency
  • surgery
  • hormonal workup

Mentioned in this episode

Organizations: The Curbsiders Internal Medicine Podcast, curbsiders.vcuhealth.org, PodPaste

More episodes of The Curbsiders Internal Medicine Podcast

Explore listener stats, chart rankings, contacts and more on the The Curbsiders Internal Medicine Podcast podcast page.