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[Study on multiple aldosterone-producing adenomas].
- Source :
-
Zhonghua wai ke za zhi [Chinese journal of surgery] [Zhonghua Wai Ke Za Zhi] 2007 Dec 15; Vol. 45 (24), pp. 1701-3. - Publication Year :
- 2007
-
Abstract
- Objective: To investigate the experience on diagnosis and treatment of multiple adrenal aldosterone-producing adenomas (APA).<br />Methods: Eighteen cases of multiple adrenal APA were analyzed retrospectively, which were admitted from October 1992 to April 2006.<br />Results: 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.<br />Conclusions: 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.
- Subjects :
- Adenoma complications
Adenoma diagnosis
Adrenal Gland Neoplasms complications
Adrenal Gland Neoplasms diagnosis
Adrenalectomy
Adult
Female
Follow-Up Studies
Humans
Hyperaldosteronism blood
Hyperaldosteronism etiology
Male
Middle Aged
Retrospective Studies
Tomography, X-Ray Computed
Adenoma surgery
Adrenal Gland Neoplasms surgery
Aldosterone blood
Subjects
Details
- Language :
- Chinese
- ISSN :
- 0529-5815
- Volume :
- 45
- Issue :
- 24
- Database :
- MEDLINE
- Journal :
- Zhonghua wai ke za zhi [Chinese journal of surgery]
- Publication Type :
- Academic Journal
- Accession number :
- 18476531