Medical Health Care Advices

Treatment

The treatment of functioning adrenal adenoma is surgical removal of it (lumpectomy) or the gland (adrenalectomy). In some hospitals, surgical removal is performed laparoscopically (through a small incision), but there is no evidence that the results of this technique are better than with traditional open surgery. Any adrenal nodule with an image scanner that offers questions about their nature (eg, greater than three centimeters or showing signs of bleeding or dying inside), should be operated to exclude an adrenal cancer.

The adrenal nodules are non-functioning and characteristics in the scanner to be a benign cortical adenoma (including smaller than 3 cm.) Can be controlled through the annual performance of a scanner to make sure changes have not the same.

The risks of surgical adrenalectomy are the same as those of any other abdominal surgery, including the risks of general anesthesia. Sometimes the spleen is located in the abdomen under the left lung must be removed in the operation. Since this organ is necessary to fight against certain bacteria, usually recommended in these cases removal of the adrenal gland on the left, vaccination against the most dangerous bacteria such as pneumococcus (causing pneumonia) and meningococcus (which causes meningitis bacterial).

What is the prognosis?

It is excellent if the hormonal changes (assuming they exist) are diagnosed and treated early and appropriately.

credit to: Dr. Alfonso José Santiago Marí, Dr. Shern Chew

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