We retrospectively analyzed fifteen cases of adrenal tumors which were operated on from october 1984 to July 1994, at department of general surgery, college of medicine, Hallym universit, Hangang sacred Heart Hospital, in order to evaluate tumor
localizing procedures, complications and surgical curability.
@ES We obtained followig results:
@EN 1) We operated 3 cases of Cushings syndrome, 3 cases of primary aldosteronism, 5 cases of pheochromoytoma and other cases of neuroblastoma, adrenal cyst, adrenocortical carcinoma.
2) Male to female sex ratio was 7 : 8. Female was predominant in Cushings syndrome(1 : 2)) but male is predominant in pheochromocytoma(4 : 1). The age distribution was relatively young age (2nd and 3nd decade).
3) Clinical manifestation was hypertension, central obesity, moon face in Cushings syndrome and headache, abdominal pain in pheochromocytoma and hypertension, muscle weakness in primary aldosteronism and other tumors was chiefly palpable mass
abdominal
pain.
4) Differential diagnosis was possible via biochemical or endocrinologic studies in adrenal tumors and localization was done by USG, CT, MRI.
5) The average size of tumors with primary aldosteronism(2.1 cm) was smaller than other types of tumors. The average size of functioning adrenal cortical tumors was significantly amaller than that of functioning medullary tumors, and also
significantly
smaller than that of nonfunctioning cortical tumors.
6) Fourteen Cases were unilateral tumors and one cases was bilateral tumor. Bilateral tumor was pheochromocytoma and all cases(n=3) of priary aldosteronism was Lt. Localizationh.
7) The operation was performed through anterior abdominal approach(n=13) and posterior flank approach(n=2; A2, O4). Ipsilateral adrenalectomy were performed 10 cases and excision were 2 cases(O3, O4). One case(P1) was O & C due to
intraperitoneal
tumor
seeding.
8) Postoerative complication of anterior abdominal approach were noted that wound infection(4 cases), pulmonary complication(3cases), bleeding(2 cases) and especially 1 cases was expired due to postoperative hemorrhagic shock. Posterior flank
approach(2 cases) were development of retroperitoneal hematoma and ARF.
9) Operative results was cured at 10 cases and symptomatic improved at 4 cases. But one case was expired.
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