Re: Adrenalectomy - incidental adenomas

[Guest guest]

Dirt is the only thing that will ensue, this was postmortim at autopsy! (Sorry, I couldn't resist!)

On that subject it does appear though that cushin's is found much more often. I did look at one of the later surveys in that study and it had some real good information including increasing the estimate due to better equipment and procedures. (I think the likelyhood of a person of your advanced age having one is around 10%!)

Here is the survey:

A survey on adrenal incidentaloma in Italy. Study Group on Adrenal Tumors of the Italian Society of Endocrinology.

Mantero F, Terzolo M, Arnaldi G, Osella G, Masini AM, Alì A, Giovagnetti M, Opocher G, Angeli A.

Department of Internal Medicine, University of Ancona, Italy. clendo@...

Source: http://jcem.endojournals.org/content/85/2/637.long

As an aside, it appears Dr. Mantero has done quite a bit in this area.

> > > > >> > > > > You will want to have some help with the children for a few days. If your> > > > > other adrenal develops an adenoma, the treatment is a mineralocorticoid> > > > > blocker (spiro or Inspra), not a steroid.> > > > > > > > > > > > > > > > > > > > Val> > > > > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > > > [mailto:hyperaldosteronism ] On Behalf Of Sara> > > > > > > > > > > > > > > Hi everyone! I just got my test results back from my adrenal vein sampling.> > > > > The excess aldosterone is coming from the left adrenal (35 x higher), which> > > > > is the one with the 1 cm tumor. I am going to have an adrenalectomy. Any> > > > > tips on recovery? I have a toddler and a baby and was just wondering what I> > > > > should expect. Also I am worried that if I get one adrenal out at such a> > > > > young age (31) if something could go wrong with the other adrenal down the> > > > > road. I don't want to have to be stuck on steroids or anything. Any advice> > > > > is greatly appreciated. So glad to have this group. > > > > > > > > > > .> > > > > > > > > > > > > > > <http://geo./serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId> > > > > =43906/stime=1339162511/nc1=3848643/nc2=5191951/nc3=5191950>> > > > >> > > > > > > >> > >> >>

[Guest guest]

I think I had forgotten about this I have known Dr. Mantero (and his wife) for about 30 years since he invited me to talk at Padua Italy at an international confereren on hyperaldo about low renin HTN and the use of the overnight dex test to Dx GRA.

1.

Grim

CE, A Ganguly, MH Weinberger. A Rapid

Method to Differentiate Glucocorticoid-Suppressible Hyperaldosteronsim from

other Causes of Primary Aldosteronism with an Anomalous Postural Response of Plasma

Aldosterone. Serono Symposia Review 1986 10: 69-78.

Curious that none of these pts were hypokalemic-perhaps they excluded them. Need to read again.I think their Italian group has updated their data on incidentalomas using the A/R ratio. Reread: Just as I thought: "According to the definition of AI (adrenal mass detected incidentallyduring an imaging work-up performed for extraadrenal complaints),exclusion criteria a priori were severe or paroxysmal hypertension, hypokalemia(<3.5 mEq/L), and clinical signs of hypercortisolism or hyperandrogenism."On Jun 12, 2012, at 9:25 PM, wrote: Dirt is the only thing that will ensue, this was postmortim at autopsy! (Sorry, I couldn't resist!)On that subject it does appear though that cushin's is found much more often. I did look at one of the later surveys in that study and it had some real good information including increasing the estimate due to better equipment and procedures. (I think the likelyhood of a person of your advanced age having one is around 10%!) Here is the survey:A survey on adrenal incidentaloma in Italy. Study Group on Adrenal Tumors of the Italian Society of Endocrinology. Mantero F, Terzolo M, Arnaldi G, Osella G, Masini AM, Alì A, Giovagnetti M, Opocher G, Angeli A. Department of Internal Medicine, University of Ancona, Italy. clendo@...Source: http://jcem.endojournals.org/content/85/2/637.longAs an aside, it appears Dr. Mantero has done quite a bit in this area. > > > > >> > > > > You will want to have some help with the children for a few days. If your> > > > > other adrenal develops an adenoma, the treatment is a mineralocorticoid> > > > > blocker (spiro or Inspra), not a steroid.> > > > > > > > > > > > > > > > > > > > Val> > > > > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > > > [mailto:hyperaldosteronism ] On Behalf Of Sara> > > > > > > > > > > > > > > Hi everyone! I just got my test results back from my adrenal vein sampling.> > > > > The excess aldosterone is coming from the left adrenal (35 x higher), which> > > > > is the one with the 1 cm tumor. I am going to have an adrenalectomy. Any> > > > > tips on recovery? I have a toddler and a baby and was just wondering what I> > > > > should expect. Also I am worried that if I get one adrenal out at such a> > > > > young age (31) if something could go wrong with the other adrenal down the> > > > > road. I don't want to have to be stuck on steroids or anything. Any advice> > > > > is greatly appreciated. So glad to have this group. > > > > > > > > > > .> > > > > > > > > > > > > > > <http://geo./serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId> > > > > =43906/stime=1339162511/nc1=3848643/nc2=5191951/nc3=5191950>> > > > >> > > > > > > >> > >> >>

[Guest guest]

I figured you would know him. I figured he/they were well respected judging by

the references to the study. Spent a few hours reviewing some of them.

> > > > > > >

> > > > > > > You will want to have some help with the children for a

> > few days. If your

> > > > > > > other adrenal develops an adenoma, the treatment is a

> > mineralocorticoid

> > > > > > > blocker (spiro or Inspra), not a steroid.

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Val

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > From: hyperaldosteronism

> > > > > > > [mailto:hyperaldosteronism ] On Behalf Of

> > Sara

> > > > > > >

> > > > > > >

> > > > > > > Hi everyone! I just got my test results back from my

> > adrenal vein sampling.

> > > > > > > The excess aldosterone is coming from the left adrenal (35

> > x higher), which

> > > > > > > is the one with the 1 cm tumor. I am going to have an

> > adrenalectomy. Any

> > > > > > > tips on recovery? I have a toddler and a baby and was just

> > wondering what I

> > > > > > > should expect. Also I am worried that if I get one adrenal

> > out at such a

> > > > > > > young age (31) if something could go wrong with the other

> > adrenal down the

> > > > > > > road. I don't want to have to be stuck on steroids or

> > anything. Any advice

> > > > > > > is greatly appreciated. So glad to have this group.

> > > > > > >

> > > > > > > .

> > > > > > >

> > > > > > >

> > > > > > >

<http://geo./serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId

> > > > > > > =43906/stime=1339162511/nc1=3848643/nc2=5191951/nc3=5191950>

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

> >

> >

>