What Is an Adrenal Adenoma?

Benign adenomas that occur in the spheroid zone of the adrenal cortex and can secrete aldosterone are called aldosteroma. It is the most common form of primary aldosteronism, accounting for about 65% of primary aldosteronism. It is more common as a single adrenal tumor. Aldosterone tumors are small in size, with an average diameter of 1.8 cm, and most weigh 3-5 g. The tumor is round or oval, with well-defined boundaries and a complete envelope. The tumor section was yellow. The clinical manifestations and biochemical characteristics of patients with aldosterone tumors are more typical than other types of aldosterone.

Adrenocortical adenoma

Benign adenomas that occur in the spheroid zone of the adrenal cortex and can secrete aldosterone are called aldosteroma. It is the most common form of primary aldosteronism, accounting for about 65% of primary aldosteronism. It is more common as a single adrenal tumor. Aldosterone tumors are small in size, with an average diameter of 1.8 cm, and most weigh 3-5 g. The tumor is round or oval, with well-defined boundaries and a complete envelope. The tumor section was yellow. The clinical manifestations and biochemical characteristics of patients with aldosterone tumors are more typical than other types of aldosterone.

Classification of adrenal tumors. Cortisolism is very high, mainly from chronic angles. An increase in glucocorticoids leads to a group of clinical manifestations: full moon face buffalo dorsal centripetal obesity hairy diabetes prone to abnormal dysfunction menstrual authority disorder. Children and children need attention. About half of the cancers that cause female virilization or the manifestation of male masculinity do not give a clear indication of cancer.

Primary aldosteronism with gradually increasing blood pressure and poor life-saving effect with hypokalemia and alkalosis (muscle weakness, muscle paralysis, arrhythmia, hand and foot twitching, painful muscle spasm, etc.)

Adrenal pheochromocytoma is heavily affected by non-releasing substances such as epinephrine and norepinephrine. Sympathy can cause vasoconstriction and rapid heartbeat, which can cause paroxysmal hypertension, accompanied by severe headache. Pale skin, especially pale skin, fast heart, limbs and head. Tremor, sweating, weakness, sometimes chest tightness, nausea, vomiting

Gonad abnormalities caused by cortical tumors are divided into genital enlargement, precocious puberty, female pseudohermaphroditism, and virilization

Non-functional tumors include non-functional cortical adenomas and adenocarcinoma neuroblastomas.

Diagnosis of adrenal tumors

Adrenal function test characteristics include: plasma adrenaline and norepinephrine; urinary catecholamines; plasma aldosterone; plasma cortisol; urine free cortisol; urine-hydroxycorticosteroids; urine-ketosteroids; plasma adrenocorticotropic hormones; total cortisol The amount of adrenocorticotropin; the total amount of cortisol; corticosterone; aldosterone; the adrenaline challenge test to distinguish between functional and non-functional adenomas

Dedication to CT examination: further diagnosis of adrenal disease

MRI goodness check: very useful for adrenal pheochromocytoma

B-ultrasound only: Screening for the first choice for adrenal disease

Body treatment for adrenal tumors

Surgery cost is the only enthusiastic way to cure adrenal tumors. At present, laparoscopy is not clear. Surgery has been considered as the preferred method for the diagnosis and treatment of adrenal tumors. The adrenal glands are located in the retroperitoneal space above the kidneys. Due to the hidden position, the traditional adrenal gland opening surgery capability is a Gastric cancer surgery with high risk and difficulty of operation. Simultaneous injections are necessary to expand the risk of incision surgery for good exposure of the gas field of the hand. Excessive tissue separation during the risk of incision surgery will cause more serious trauma to patients with adrenal tumors. Red envelope laparoscopy After the responsibility, only three small thick holes in the waist are needed to introduce illumination light and the surgical operator's hand does not enter the adrenal tumor. The patient can not only have money in the body but also operate in vitro. This not only reduces the good trauma of the surgery. Due to the choice to control the good lighting and magnification effect of laparoscopy, the professional can better expose the adrenal gland area. Due to the finer surgical procedures, it can significantly enrich the bleeding and reduce complications.