LOCALIZATION OF ADRENAL ADENOMAS IN PRIMARY ALDOSTERONISM
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概要
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The diagnostic validities of abdominal computed tomography, adrenal isotopic scanning and adrenal venous sampling for localization of adrenal lesions were compared in 18 cases of primary aldosteronism including 15 cases with adrenal adenoma and 3 cases with adenomatous hyperplasia. Of the above 3 diagnostic procedures, It was concluded that computed tomography was the most accurate and useful. The localization of the adrenal lesion was precisely diagnosed by this procedure in 94%, while accurate diagnosis was made in 71% by adrenal venous sampling and in 56% by adrenal isotopic scanning, respectively.Abdominal computed tomography failed to demonstrate the adrenal lesion in only 1 case with the smallest adenoma of 0.9 × 0.8 × 0.7cm in size. The incidence of false positive diagnosis was 12% for adrenal venous sampling, but nil with computed tomography or adrenal isotopic scanning.
- 北関東医学会の論文
北関東医学会 | 論文
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