52 cases of surgical diagnosis and treatment of adrenal tumors


By delaying treatment. e group 2 patients with malignant lymphoma is extremely rare, one case of preoperative MRI diagnosis of retroperitoneal tumor, B ultrasound showed the left renal cell carcinoma with retroperitoneal lymph node metastasis. Line of the left adrenal tumor resection radical + left kidney tumor lOcm × m × m, after 2 months of pulmonary metastasis, 2 months after the death. e other cases of preoperative B-ultrasonography, prompt bilateral renal unit on the Author: 313000 First People's Hospital of Huzhou City, Zhejiang Province gland mass, MRI Tip pheochromocytoma. Underwent bilateral adrenal tumor resection, the right tumor mXmXm, the left tumor mXmXm, intraoperative blood pressure shoot up to 195/105mmHg, six months after the death. Reported in the literature, 25% of malignant lymphoma can involve the adrenal gland,moncler pas cher, but the primary adrenal lymphoma is very rare _2J. e disease mostly occurs in middle-aged, male and female ratio of 18:13 [3J,abercrombie outlet, no characteristic clinical symptoms, average survival period of 15 months. Group 2 patients with neuroblastoma,ralph lauren danmark, although the tumor and kidney involvement be removed, but after a rapid deterioration due to died. So that the diagnosis of unknown waist abdominal pain, fatigue, weight loss, mass, etc. as soon as possible B-, CI1 and MRI, to determine whether the tumor. 3.3 refers to incidental adrenal tumors without clinical signs and symptoms of adrenal disease accidentally discovered adrenal lesions. e group of 10 cases,nike store, accounting for 22.73%. Sporadic pheochromocytoma sporadic adrenal tumors account for 3% ~ 10% _4J,moncler paris, the group I patients. e patients underwent a sudden jump in blood pressure, systolic blood pressure of up to 280mrrdqg, the potential danger greatly. Intraoperative blood pressure shoot up or dip is caused by sporadic adrenal tumors died of the main reasons [. Shao by [] that the diameter> 3.m of incidentalomas should be surgically removed, of <3.m may be followed up every 3 months for B-or cT review and, if the increasing trend, which should be resected , without significant changes, continue to follow and extend the follow-up period of 6 to 12 months. 3.4 intraoperative monitoring and treatment of surgical treatment of adrenal tumors is currently still dominated, but the risk of surgery than similar major surgery, usually because of high hormone levels caused by hypovolemia, intraoperative tumor and squeeze the release of the hormone increases, causing blood pressure sharply; tumor resection, high hormone levels termination, systemic vascular rapid relaxation, the relative lack of blood volume, blood pressure can drop rapidly to zero. e group of 12 cases of intraoperative blood pressure soared, up systolic blood pressure 280mmHg, as intraoperative monitoring and effective treatment without the drop of blood pressure occurred in 1 case. So that: (1) of the adrenal tumors ≥ 3.m in diameter should be surgically removed, a diameter of 2 ~ 3.m non-functional malignant tumor is still possible in view of clinical, but also advocate surgery, and <m to tend to close observation; (2) regardless of tumor size, whether the functions are in the preoperative preparation by pheochromocytoma; (3) the establishment of an effective infusion pathway, in particular, need a group dedicated to step-up, antihypertensive drug infusion pathway; ( 4) to avoid repeated surgery or adrenal tumor in order to avoid squeezing blood pressure shoot up, and as soon as possible to remove the tumor, to prevent fluctuations in blood pressure; (5), intraoperative close monitoring of vital signs, a high degree of suspicion of functional adrenal tumors, should be Please present with the physician.