Very complicated medical history-lupus, reynaulds, lupus anti coagulant-latest is an adrenal gland neoplasm-was being watched and was told it was a benign ademoa- since the last check I am told it had grown greatly and the possibility of a neoplasm is not excluded and it should be removed-Because of being a high surgical risk I am hesitant-also am told this is beyond the scope of a general surgeon. Any suggestions?