[131I-cholesterol scintigraphy and computerized tomography of the adrenals in the diagnosis of Conn's syndrome].

Autor: Mamytbekova DZ, Kolesnikova EK, Savel'ev VIu
Jazyk: ruština
Zdroj: Biulleten' Vsesoiuznogo kardiologicheskogo nauchnogo tsentra AMN SSSR [Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR] 1982; Vol. 5 (1), pp. 45-8.
Abstrakt: Thirty patients with severe arterial hypertension of supposedly adrenal genesis underwent computer tomography (CTG) and scintigraphy of the adrenal glands by I131-cholesterol. Fifteen patients were not found to have hypertension of adrenal genesis. According to the CTG and scintigraphy data, 10 patients were found to have adenomas in one or two adrenal glands, the diagnoses in 8 of them being verified during operations. In 3 patients with normal CTG of the adrenal glands, hyperplasia of their glomerular zone was revealed. In 2 patients with changed CTG and normal scintigraphic picture of the adrenal glands, operations revealed cystic degeneration. Disparity of CTG and the adrenal glands scintigraphy data was observed in two cases: in incapsulated adenoma and in hyperplasia of the adrenal glomerular zone. Both of those methods, were, evidently, valuable equally inthe diagnosis of aldosteronomas of the adrenal glands, and in a number of cases they were mutually complementary.
Databáze: MEDLINE