J Korean Radiol Soc.
1978 Dec;14(2):342-348. 10.3348/jkrs.1978.14.2.342.
Arteriography of the adrenal tumors
- KMID: 2349439
- DOI: http://doi.org/10.3348/jkrs.1978.14.2.342
Abstract
- Although the diagnosis of the functioning tumors of the adrenal gland can be usually made by clinical and laboratory findings, localization of the tumor by arteriography prior to the operation is important. We have applied aortography and selective arteriograhic technique of the adrenal tumors. The usefulness, technique, and hazards of arteriography of 13 cases of confirmed adrenal tumors with their arteriographic findings are reviewed. The brief results are as follows. 1. Aortography must be obtained as a preliminary examination for detection oforigin of arteres and it's ecopic sits. Direct catheterization of adrenal vessels combined with selective vasoconstriction provides a method for the demonstrating regularly the adrenal glands in spite otheir variable blood supply. 2. In our 4 cases of proven pheochromocytoma neither mortality nor significant morbidity occurred, except fluctuation of the blood pressure in 2 cases during arteriography. 3. In 2 cases among the 5 benign adrenalcortical adenomas arteriographical demonstration of the tumor was not obtainend, because of their relatively smallsize, which show primary aldosteronism and cushign's syndrome respectively. 4. The significane of arteriography inpatients with adrenal tumor is to localize the tumor properatively, determine whether it is intra or extra-adrenalor bilateral, define it's arterial blood supply, and there by assist the surgeon in planning surgical approach.
