Re: Laproscopic Adrenalectomy Post-Surgical Expectations??

[Guest guest]

3 inches across. Yikes!!! That pt must have been in a fair amount of pain and had various adrenal-produced hormones in copious amounts...not just aldo. On 12/19/06,

lowerbp2@... <lowerbp2@...> wrote:

In a message dated 12/19/06 7:21:16 AM, jfeinsmith@... writes:

Here you go. Based on my post-surgical BP's (120/80 or below),

evidence is that the adenoma was functional in nature. If I'm reading

the path report correctly, there was no indication of carcinoma nor

pre-cancerous cellular changes, correct? Spelling errors are mine

Right on the cancer readings-I have only seen one in my life and it was 3 inches across and did not have the typical golden chalice color that I love to see.

May your pressure be low!

Clarence E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

[Guest guest]

Dr. Grim,

We spoke with the pathologist this AM. She pulled the non-tumor sections and

put them on the microscope to confirm her memory of what she saw there. And

what she saw was healthy adrenal tissue with no micro-adenomas at all. So, yes.

they " got it all " , significantly reducing the likelihood of recurring disease on

the right side.

Thanks again,

Jeff

>

> what I would like to know is what did the non tumor areas show.

>

>

>

> May your pressure be low!

>

> Clarence E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

[Guest guest]

In a message dated 12/21/06 7:32:50 PM, datawrhsdoc@... writes:

Dr. Grim,

We spoke with the pathologist this AM. She pulled the non-tumor sections and put them on the microscope to confirm her memory of what she saw there. And what she saw was healthy adrenal tissue with no micro-adenomas at all. So, yes. they "got it all", significantly reducing the likelihood of recurring disease on the right side.

Thanks again,

Jeff

Excellent. However, as one who has looked at adrenals for 40 years unless you are really good at looking for these you may note them.

One thought I have had would be to develop a database that would include actual microphtos of the adrenal histology on all of our participants so that others who are expert in this area analyze the pathology in a systematic way.

This sort of thing has never been done on the web that I know about.

May your pressure be low!

Clarence E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

[Guest guest]

Maybe she would like to be in charge of this. Please forward her the following citations that she may not be aware of.

Related Articles, Links

Evolution of diagnostic criteria for primary aldosteronism: why is it more common in "drug-resistant" hypertension today?

Curr Hypertens Rep. 2004 Dec;6(6):485-92. Review.

Longo DL, Esterly JA, Grim CE, Keitzer WF. Pathology of the adrenal gland in refractory low renin hypertension. Arch Path Lab Med 1978; 102: 322-327.

Grim CE, McBryde AC, Glenn JF, and Gunnells JC. Childhood primary aldosteronism with bilateral adrenocortical hyperplasia: Plasma renin as an aid to diagnosis. J Peds 1967;71:377-383.

Gunnells JC, McGuffin WL, RR, Grim CE, Wells S, Silver D, and Glenn JR. Hypertension, adrenal abnormalities and alterations in plasma renin activity. Ann Intern Med 1970;73:901-911.

May your pressure be low!

Clarence E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

[Guest guest]

I'll give the pathologist a call...On 12/22/06, lowerbp2@... <lowerbp2@...

> wrote:

In a message dated 12/21/06 7:32:50 PM, datawrhsdocgmail writes:

Dr. Grim,

We spoke with the pathologist this AM. She pulled the non-tumor sections and put them on the microscope to confirm her memory of what she saw there. And what she saw was healthy adrenal tissue with no micro-adenomas at all. So, yes. they " got it all " , significantly reducing the likelihood of recurring disease on the right side.

Thanks again,

Jeff

Excellent. However, as one who has looked at adrenals for 40 years unless you are really good at looking for these you may note them.

One thought I have had would be to develop a database that would include actual microphtos of the adrenal histology on all of our participants so that others who are expert in this area analyze the pathology in a systematic way.

This sort of thing has never been done on the web that I know about.

May your pressure be low!

Clarence E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.