Study on multiple aldosterone-producing adenomas / 中华外科杂志
Zhonghua Wai Ke Za Zhi
; (12): 1701-1703, 2007.
Article
en Zh
| WPRIM
| ID: wpr-237863
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the experience on diagnosis and treatment of multiple adrenal aldosterone-producing adenomas (APA).</p><p><b>METHODS</b>Eighteen cases of multiple adrenal APA were analyzed retrospectively, which were admitted from October 1992 to April 2006.</p><p><b>RESULTS</b>Adrenalectomy was performed for 4 cases of unilateral synchronous multiple APA, which were discovered with three adenomas by 3D-CT; bilateral tumor resection was performed for 6 cases of bilateral synchronous multiple APA. There were 8 cases of bilateral metachronous multiple APA, including 2 cases of ipsilateral recurrent adrenal APA after adrenal tumor removal, which underwent tumor resection. Another 6 cases were contralateral APA following adrenalectomy due to adrenal APA, and underwent tumor resection. After operation, the adrenal function seemed to be normal, and no recurrence had been found on follow-up.</p><p><b>CONCLUSIONS</b>Unilateral multiple synchronous APA require adrenalectomy. Tumor resection should be performed for bilateral or asynchronous APA, and it is very important to preserve healthy adrenal tissue as much as possible. 3D-CT has much value on diagnosis of small APA, unilateral multiple synchronous APA and ipsilateral recurrent adrenal APA.</p>
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Cirugía General
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Sangre
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Tomografía Computarizada por Rayos X
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Adenoma
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Estudios Retrospectivos
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Estudios de Seguimiento
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Neoplasias de las Glándulas Suprarrenales
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Adrenalectomía
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Diagnóstico
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Aldosterona
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Límite:
Adult
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Zhonghua Wai Ke Za Zhi
Año:
2007
Tipo del documento:
Article