Sarrazin R, Charvin B
Service de Clinique Chirurgicale, CHRU, Grenoble.
J Urol (Paris). 1989;95(5):313-8.
The therapeutic strategy to be adopted when confronted with an adrenal tumor is schematically presented for the various situations which may occur: --pheochromocytomas, where the principal problems are the blood pressure and the localization and volume of the tumors(s); --Conn's syndrome, where a bilateral tumor should not be missed; --Cushing's syndrome, where bilateral total adrenalectomy via a posterior approach would seem to be the treatment of choice; --non secreting and secreting adrenal tumors, which usually pose the problem of volume and possibility of malignancy. The ideal surgical approach is discussed for each of the above cases.
面对肾上腺肿瘤时应采取的治疗策略，针对可能出现的各种情况以示意图形式呈现如下：——嗜铬细胞瘤，主要问题是血压以及肿瘤的定位和体积；——原发性醛固酮增多症，不能漏诊双侧肿瘤；——库欣综合征，经后路双侧肾上腺全切术似乎是首选治疗方法；——无分泌功能和有分泌功能的肾上腺肿瘤，通常存在体积及恶性可能性问题。针对上述每种情况讨论了理想的手术入路。
