The diagnosis and surgical management of diseases of the adrenal glands.
The authors present their own experience in the diagnosis and management of adrenal tumours and cysts. During the years 1980-2000, 74 patients were underwent surgical treatment. Of this group, 23 had Cushing's syndrome, 19 phaeochromocytomas, 4 Conn's syndrome, 2 virilising tumours, 2 adenocarcinomas, 2 ganglioneuromas, 7 adrenal cysts, 8 adenomas, 3 adenocortical carcinomas, 2 nodular hypertrophies, 1 myelolipoma and 1 liposarcoma. Treatment was effective in 73 (98.6%) of patients. We recommend the transperitoneal approach which allows the visual evaluation of both adrenals and extra adrenal tissue. We regard surgical intervention as being the only effective method of treating adrenal tumours.
Barczyk
J
J
I Department of General Surgery, Medical Academy of Białystok, Białystok, Poland.
Trochimowicz
L
L
Siemiatkowski
A
A
Puchalski
Z
Z
D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D013507:Endocrine Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland