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Diabetes and Endocrinology · Refer Your Patient
Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Adrenal mass.
Cat 1 · 30 days
appointment within 30 calendar days. - Adrenal tumour with suspicious features for malignancy and / or > 4 cm - Adrenal tumour with evidence that it is functional - excess cortisol (Cushing’s syndrome) - excess aldosterone - excess catecholamines (phaeochromocytoma) - excess androgens - hisutism, virilisation
Cat 2 · 90 days
appointment within 90 calendar days. - Adrenal incidentaloma with no suspicious features for malignancy or production of excess cortisol, aldosterone, catecholamines or androgens and >2cm - Surveillance of known adrenal adenoma
Cat 3 · 365 days
appointment within 365 calendar days. - Adrenal incidentaloma with no suspicious features for malignancy or production of excess cortisol, aldosterone, catecholamines or androgens and <2cm
Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.
- Advise presence of hypertension or hypokalaemia - For incidental adrenal lesion: - ELFT - plasma metanephrines - morning (8:00-9:00) cortisol and cortisol 1mg dexamethasone suppression test - aldosterone and renin - Current and previous CT or other imaging preferred with dedicated adrenal protocol If a specific test result cannot be obtained due to access, financial, religious, cultural or consent reasons a clinical override may be requested. This reason must be clearly articulated in the body of the referral.
The following conditions are out of scope for this service: - Pre-diabetes - Stable, well-controlled type 2 diabetes - Newly diagnosed type 2 diabetes and not acutely unwell - Referrals where the primary problem requiring attention is not directly related to the diabetes and should be directed to another speciality service e.g. chest pain for investigation should go to cardiology - Dietary advice for weight reduction, high cholesterol, hypertension or CVD in patients with diabetes - Newly diagnosed primary hypothyroidism, including subclinical hypothyroidism – Note: in women of child bearing age who are pregnant or wishing to become pregnant or not using contraception, thyroxine should be commenced and titrated, aiming for a TSH less than 2.5 - Positive thyroid antibodies with normal thyroid function - Osteopaenia - Routine uncomplicated osteoporosis
Parent service: Diabetes and Endocrinology
Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au