2011, Number 4
<< Back Next >>
Revista Cubana de Cirugía 2011; 50 (4)
Non-functional corticosuprarenal adenoma
Reyes BES, Armas PBA, Díaz PD, Basulto ME
Language: Spanish
References: 11
Page: 548-554
PDF size: 327.58 Kb.
ABSTRACT
About the 50 % of the cortical-suprarenal tumor are benign and functional, much of
them are solid with signs and symptoms of glucocorticoids (Cushing) or
mineralocorticoid (Conn). The remainder 50 % of solid neoplasm corresponds to
primary adrenocortical carcinomas whose half is functional. Within the benign solid
tumors the more frequent is the adenoma. This is the case of a white male patient
aged 36 with a prior good health admitted due to asthenia from 6 months ago and
slightly intensive abdominal pain the right flank irradiating to back as well as weight
loss. In physical examination it was verified a right flank tumor. A bulky suprarenal
tumor was diagnosed by ultrasonography, computerized axial tomography and a
rise of blood cortisol. Tumor is removed b y anterior and lateral combined incision
in semi-decubitus position allowed a good field with satisfactory results.
Anatomical-pathological diagnosis was a corticosuprarenal adenoma which was
analyzed and compared with other reports.
REFERENCES
Stephen AE, Haynes AB, Hodin RA, editors. Contemporary Medical Imaging [monografía en internet]. Boston: Spinger Science; 2009 [citado 11 de junio de 2010]. Disponible en: http://www.spingerlink.com/content/t7200t4426m38278/
Beers MH, Porter RS, Jones TV, Kaplan JL, Berkwits M. Trastornos suprarrenales. Enfermedades endocrinas y metabólicas. En: El Manual Merck de Diagnóstico y Tratamiento. Tomo V. 11 ed. Madrid: Elsevier; 2007. p. 1317.
De Dios JM, Vispo C, Aymerich E, Recio H, Hung S, De la Torre T, et al. Afecciones quirúrgicas de la glándula suprarrenal. Estudio de 19 casos. Rev Cubana Cir. 1988;27(1):51-65.
Thompson NW, Cheung PS. Diagnóstico y tratamiento de las neoplasias corticosuprarrenales, funcionales y no funcionales, incluidos incidentalomas. Clinicas Quirúrgicas de Norteamérica. 1988;ER:447-61 (Tomada de la edición mexicana de 1987, con licencia especial no. 11 del 27 de enero de 1988).
Barzon L, Maffei P, Sonino N, Pilon C, Baldazzi L, Balsamo A, et al. The role of 21-hydroxylase in the pathogenesis of adrenal masses: review of the literature and focus on our own experience. J Endocrinol Invest. 2007 Jul-Aug;30(7):615-23.
Jiménez AA, Rodríguez CA. Cirugía de la glándula suprarrenal. En: Manual de técnicas quirúrgicas. La Habana: Editorial Ciencias Médicas; 2008. p. 111.
Malt RA. Suprarrenalectomia. En: Técnicas quirúrgicas ilustradas. La Habana: Editorial Científico Técnica; 1977. p. 31.
Valle Suárez JA, Hernández Piard M, Rodríguez Martínez ZR, González Rodríguez D, Hernández Fernández DM. Incidentaloma adrenal. Rev Méd Electrón [serie en internet]. 2008 [citado 20 de mayo de 2010];30(1). Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202008/vol1%202008/tema17.htm
Sánchez Pérez IF, Fong Estrada JA, Llanes Revilla OJ, Fong Sinobas JA, Couso Seoane C. Incidentaloma o carcinoma de la glándula suprarrenal. MEDISAN [serie en internet]. 2009 [citado 22 de mayo de 2010];13(2). Disponible en: http://bvs.sld.cu/revistas/san/vol13_2_09/san17209.htm
Erbil Y, Ademoglu E, Ozbey N. Evaluation of the cardiovascular risk in patients with subclinical Cushing syndrome before and after surgery. World J Surg. 2006;30:1665-71.
Farley DR. Grand mal seizure after routine surgery: How did we miss a key warning sign? Contemporary Surgery. 2008;64(2):64-5.