過去10年間(1965〜1974)における副腎疾患の局在診断法に関する検討

概要

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Forty cases of adrenal diseases, including 20 cases of primary aldosteronism, 8 cases of Cushing's syndrome, 7 cases of adrenogenital syndrome, and 5 cases of pheochromocytoma, have been treated in our department during the past 10 years until the end of 1974. In order to localize adrenal tumors, some combination of retroperitoneal pneumography, tomography, adrenal venography, radioisotope photoscanning and abdominal aortography was used. The results obtained were as follows: 1. Using retroperitoneal pneumography combined with tomography, 22 of 30 cases (primary aldosteronism, 18 cases; Cushing's syndrome, 7 cases; adrenogenital syndrome, 3 cases; pheochromocytoma, 2 cases) were diagnosed correctly (73% accuracy). 2. Adrenal venography showed a tumor lesion in 15 of 18 cases (primary aldosteronism, 11 cases; Cushing's syndrome, 5 cases; adrenogenital syndrome, 2 cases). 3. Radioisotope photoscanning, using ^<181>I-19-iodocholesterol, of the adrenal and abdominal aortography revealed a tumor contour in all of the 5 cases (primary aldosteronism, 4 cases; Cushing's syndrome, 1 case) and in all of the 3 cases performed (pheochromocytoma, 3 cases). The radioisotope scanning was most useful in localizing adrenal cortex tumors.
社団法人日本泌尿器科学会の論文
1975-08-20