We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
from Section 17 - General Surgery
Published online by Cambridge University Press: 05 September 2013
Adrenalectomy is performed to remove functional masses such as adrenocortical hyperplasia (Cushing's disease), cortisol-secreting adenoma or adenocarcinoma (Cushing's syndrome), aldosterone-secreting adenoma (Conn's syndrome), pheochromocytoma, and adrenal causes of feminizing or virilizing syndromes. Non-functional masses that are also treated with adrenalectomy include adrenal adenocarcinoma, symptomatic adrenal cysts or angiomyolipomas, adrenal incidentalomas > 4 cm discovered on imaging studies, and isolated adrenal metastases with a favorable tumor biology.
With functioning tumors confirmed biochemically, a CT or MRI is performed to determine the side location of the neoplasm as well as its size, local invasion, and hepatic metastases. Patients with a diagnosis of pheochromocytoma receive a 131I-MIBG scan to localize occult second tumors or metastatic disease to the liver, lung, or bone. Selective venous sampling from the adrenal veins and inferior vena cava is useful to confirm the diagnosis of an aldosterone-secreting adenoma versus bilateral adrenal adenomas or micronodular hyperplasia of the zona glomerulosa. When metastases are being evaluated and resection is under consideration, FDG–PET scan is a useful adjunct.
To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.
