[Results of 25-year pheochromocytoma treatment in the Groningen Academic Hospital]. / Resultaten van 25 jaar feochromocytoombehandeling in het Academisch Ziekenhuis Groningen.
Ned Tijdschr Geneeskd
; 141(3): 148-51, 1997 Jan 18.
Article
em Nl
| MEDLINE
| ID: mdl-9053762
ABSTRACT
OBJECTIVE:
To evaluate 25 years' experience with the localisation techniques, operative management and results of treatment for phaeochromocytoma.DESIGN:
RetrospectiveSETTING:
Groningen University Hospital, the Netherlands.METHOD:
Localisation results, per- and postoperative morbidity, mortality and treatment results were evaluated in all 59 patients treated for phaeochromocytoma in the period 1970-1995; 41 patients underwent unilateral adrenalectomy, 18 underwent bilateral adrenalectomy.RESULTS:
From the introduction of MIBG scintigraphy all tumour sites were correctly diagnosed preoperatively. The transabdominal operation lead to considerable morbidity and minimal mortality. All MEN type 2 patients (n = 5) treated with unilateral adrenalectomy developed phaeochromocytoma in the contralateral gland and needed total adrenalectomy 7 to 14 years after the initial operation.CONCLUSION:
A retroperitoneal approach in surgical treatment of phaeochromocytoma is to be preferred. In MEN type 2 patients bilateral adrenalectomy is still mandatory.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Feocromocitoma
/
Neoplasias das Glândulas Suprarrenais
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Ano de publicação:
1997
Tipo de documento:
Article