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2011, Number 4

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Revista Cubana de Cirugía 2011; 50 (4)

Non-functional corticosuprarenal adenoma

Reyes BES, Armas PBA, Díaz PD, Basulto ME
Full text How to cite this article

Language: Spanish
References: 11
Page: 548-554
PDF size: 327.58 Kb.


Key words:

suprarenal tumor, suprarenal tumor diagnosis, approach routes.

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

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  2. 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.

  3. 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.

  4. 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).

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  11. Farley DR. Grand mal seizure after routine surgery: How did we miss a key warning sign? Contemporary Surgery. 2008;64(2):64-5.




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Revista Cubana de Cirugía. 2011;50