ABSTRACT
OBJECTIVE: Thirty cases of adrenalectomy are presented. The diagnostic and therapeutic aspects of adrenal disease are reviewed. METHODS: Over the last 6 years, 30 adrenalectomies were performed in 28 patients (20 females and 8 males) aged 16-83 years (mean age 51 years). The lesion was incidentally discovered in 18.5%, 33.3% presented abdominal or lumbar pain, 18.5% had Cushing's syndrome, 18.5% presented headache and hypertension, and 7.4% virilization. Diagnostic evaluation included laboratory studies, ultrasound and CT assessment. Scintigraphic localization with MIBG, MRI or arteriography was performed in specific cases. The flank approach was utilized in 53% of the cases. RESULTS: The postoperative period ranged from 7-23 days (mean 11). Postoperative complications (38.4%) following adrenalectomy were splenectomy, hemorrhage, hypertensive episodes, vascular complications, wound infection and pneumonia. Fifty percent of the masses were pheochromocytomas, 10% carcinomas and 5% adenomas. The rest were two neural crest derived tumors, one calcified cyst, one myelolipoma and one metastatic renal carcinoma. CONCLUSION: The diagnostic and therapeutic aspects of adrenal disease are reviewed.
Subject(s)
Adrenal Gland Neoplasms/surgery , Adrenalectomy , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle AgedABSTRACT
Presentation of one case of retroperitoneal ganglioneuroma in a 31-year old female. This type of neoformation, with origin at the sympathetic system nodes level, is considered to be the benign homologous of neuroblastoma. Peak incidence age ranges from 3 to 20 years. The retroperineum is one of the most frequent sites, second only to the mediastinum. Diagnosis is normally casual and is considered definite when, following mass removal and completion of the pathoanatomical study, the presence of neuroblasts in the tumour can be ruled out.
Subject(s)
Ganglioneuroma , Retroperitoneal Neoplasms , Adult , Female , Ganglioneuroma/diagnosis , Humans , Retroperitoneal Neoplasms/diagnosisABSTRACT
Being a systemic vasculitis, Schöenlein-Henoch purpura may affect the scrotum and its content. According to the series studied, this occurs in about 10% patients (2-38%) and sometimes requires a differential diagnosis with the spermatic cord torsion. An isotopic study with 99Tc may avoid a surgical procedure quite often unnecessary. In the case reported here, vasculitis presented as an acute scrotum, which is highly infrequent in the literature and makes a correct presumption diagnosis extraordinary difficult.
