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Answer :
Final answer:
The most appropriate next step in management for a 45-year-old man with a 5-cm right adrenal mass and negative testing for pheochromocytoma and subclinical Cushing syndrome is adrenalectomy.
Explanation:
The most appropriate next step in management for a 45-year-old man with a 5-cm right adrenal mass and negative testing for pheochromocytoma and subclinical Cushing syndrome is Adrenalectomy. Adrenalectomy involves surgical removal of the adrenal gland and is the preferred treatment for adrenal tumors larger than 4 cm that cause clinical symptoms, such as bloating and constipation. In this case, since the CT scan shows a 5-cm mass and the patient is symptomatic, adrenalectomy would be the most appropriate next step to further evaluate and manage the mass.
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