Surgical Treatment of 20 Cases of Adrenal Tumors.
- Author:
Heon Joong KANG
1
;
Jeong Hwan AN
;
Seong CHOI
;
Hyun Ryul RHEW
Author Information
1. Department of Urology, Kosin University, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Adrenal tumor;
Surgery
- MeSH:
Adrenocortical Adenoma;
Adrenocortical Carcinoma;
Angiography;
Diagnosis;
Female;
Humans;
Ileus;
Incidence;
Magnetic Resonance Imaging;
Male;
Neuroblastoma;
Pheochromocytoma;
Spleen
- From:Korean Journal of Urology
1994;35(6):671-677
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Our experience of surgical management of 20 adrenal tumors was present during the period from June, 1988 to May, 1993. The results of clinical study were as follows ; 1. Average age of patients was 40.9 years with the highest incidence in sixth decade occupying 40% and male to female ratio was 1:1 and right to left ratio was equal also. 2. The adrenal tumors consist of 8 adrenocortical adenoma( including 3 primary aldosteronisms and 1 Cushing syndrome), 4 adrenocortical carcinoma(including 1 Cushing syndrome), 7 pheochromocytomas and l neuroblastoma. 3. The 11 functioning adrenal tumors( including 4 adrenocortical adenomas, 1 adrenocortica1 carcinoma and 6 pheochromocytomas) showed specific symptoms and signs and the majority symptom and sign of the 9 non-functioning adrenal tumors( including 4 adrenocortical adenomas, 3 adrenocortical carcinomas, 1 neuroblastoma and 1 pheochromocytoma) showed abdominal discomfort and pain. 4. For initial diagnosis of the adrenal tumors, USG, CT, MRI and angiography are reliable but IVP was reliable in large adrenal tumor 5. The surgical approaches were transperitoneal in 18 patients and retroperitoneal in 2 patients and postoperative surgical complication occurred in 3 patients of transperitoneal approaches that were prolonged ileus, spleen injury and pancreatic injury with pleural effusion.6. The tumor masses were 12gm to 4,000gm in weight (mean: 616gm). The adrenal benign and malignant tumor were significantly different in weight ( 120gm : 1817gm).
