Saleh M Al Salamah.
Surgery for Adrenal Tumors.
J Coll Physicians Surg Pak Jan ;12(3):165-8.

Objective: To analyze the presentation, localization, pathology, surgical management and outcome of surgery for adrenal gland tumors. Design: Prospective clinicoepidemiological study. Place and Duration of Study: The study was conducted at the Department of General Surgery, University Unit, Riyadh Medical Complex, Kingdom of Saudi Arabia from June 1991 to May, 2001. Subjects and Methods: A total of 21 cases with adrenal tumors were studied for demographic data, clinical presentation, diagnostic workup, localization, surgical management, pathology and outcome. The outcome of these patients was followed prospectively. Results: The study included 12 female and 9 male patients. The mean age at surgery was 36.7 years. Hypertension (69%) was the commonest presentation in hypersecretary functional tumors. The localization accuracy for ultrasonography, computerized tomography, MRI and MIBG scans was 95.2%, 98.3%, 87.8% and 83.6% respectively. Pheochromocytoma was the most common adrenal pathology observed in 14 (66.6%) cases. The overall morbidity was 19% with no hospital mortality. Complete follow-up of available 19 patients (90.5%) revealed no tumor recurrence and persistent hypertension in 14.3% cases. Conclusion: Surgery on adrenal glands is safe in experienced hands and is recommended in institutes with all backup facilities.

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