[The diagnosis and treatment of hormonally inactive adrenal formations].
Under analysis are results of an examination of 56 patients with hormonally non-active tumors of the adrenals, 48 of them were operated upon. In 20 patients (35%) they had clinical manifestations, 16 patients (28%) had an elevated level of the 17-HCS and 17-CS excretion in the 24-hours urine. Morphological investigations of the tumors in 20 patients have revealed clear cell adenomas of the cortical layer of the adrenal, in 19 patients--tumoral cysts, in 3 patients--true cysts, in 1 case-myelolipoma, in 1 case--ganglioneuromyelolipoma, in 4 cases--hormonally non-active carcinomas of the adrenal cortex. The authors propose to designate the new formations described as hormonally non-active tumors of the adrenals. In view of the absence of absolute methods for the identification of malignancy of the tumors the operative treatment of them is proposed.
Maĭstrenko
N A
NA
Kalashnikov
S A
SA
Dovganiuk
V S
VS
D015065:17-Hydroxycorticosteroids / Q000652:urine; D015068:17-Ketosteroids / Q000652:urine; D000236:Adenoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery / Q000652:urine; D000293:Adolescent; D000303:Adrenal Cortex Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery / Q000652:urine; D000306:Adrenal Cortex Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery / Q000652:urine; D000311:Adrenal Glands / Q000000981:diagnostic imaging; D000328:Adult; D000368:Aged; D003560:Cysts / Q000175:diagnosis / Q000473:pathology / Q000601:surgery / Q000652:urine; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D015065:17-Hydroxycorticosteroids; D015068:17-Ketosteroids
Diagnostika i lechenie gormonal'no-neaktivnykh obrazovaniĭ nadpochechnikov.