title: Advances in the techniques of localisation of adrenal tumours and their influence on the surgical approach to the tumour.
abstract: The results of attempts to localise adrenal tumours in 65 patients are presented. In the first series (1966-1978) adrenal phlebography and adrenal vein sampling located 18 of 20 (90%) of adrenocortical tumours and 18 of 19 (94%) phaeochromocytomas were defined by angiography and venous sampling. In the second series CT located 7 of 8 adrenocortical and all 6 intra-abdominal phaeochromocytomas. Scintigraphy located all 9 adrenocortical tumours and both of the phaeochromocytomas examined. Confidence in the ability of newer techniques allows the use of a flank incision in most cases, thus reducing the operative morbidity.
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003480:Cushing Syndrome / Q000175:diagnosis; D006801:Humans; D006929:Hyperaldosteronism / Q000175:diagnosis; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010690:Phlebography; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed