[Experience with CT and adrenal venography in the diagnosis of adrenal disease with endocrine activity (author's transl)].
Report of the result of CT and venography in 12 patients with suspected adrenal disease, venography being combined with selective blood sampling for hormone analysis. In one patient CT showed a 1.6 cm big pheochromocytome in the left adrenal gland, not demonstrated by venography, but proven by analysis of the blood sample. Both methods showed hyperplasia of both adrenals in one patient with Cushing Syndrome with elevated Cortisol levels found in the analysis of the blood smples. Of 3 patients with hyperaldosteronism, venography was able to demonstrate 2 Conn adenomas, not seen on CT; whereas CT showed the third 2 X 1.5 cm big Conn adenoma hidden in an enlarged adrenal gland. Hormone analysis was helpful in 2 of these cases, while in the third it was misleading. The authors believe that both methods should be employed to localise over adrenal disease with endocrine activity.
D000307:Adrenal Gland Diseases / Q000097:blood / Q000000981:diagnostic imaging*; D000310:Adrenal Gland Neoplasms / Q000097:blood / Q000000981:diagnostic imaging; D000328:Adult; D003480:Cushing Syndrome / Q000097:blood / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D006929:Hyperaldosteronism / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000000981:diagnostic imaging; D010690:Phlebography; D014057:Tomography, X-Ray Computed
D006854:Hydrocortisone
Erfahrungen mit der Computertomographie und der Nebennierenphlebographie in der Diagnostik hormonaktiver Nebennierenprozesse.