Urologie pro praxi 1/2002
Nádory nadledvin a sekundární hypertenze
Suprarenal Tumors and Secondary Hypertension Structural changes in the adrenal cortex or medulla can be accompanied by secondary hypertension. Radical therapy can often save a patient from irreversible consequences and complications. In recent years there have been major advances in the diagnostic and treatment procedures. A combination of laboratory and imaging techniques enables the early detection of structural or functional disturbances, a clinical definition with relatively high reliability and an indication of the most suitable modality in regards to the final solution. Perioperative care for a patient must be tailored in order to decrease any disproportionate risk during intervention. An independent chapter is presented on the incidentally discovered, non-active adrenal gland masses, incidentalomas. The authors consider a group of patients who, in the last 33years, have undergone an operation in the Department of Urology of the University Hospital in Olomouc because of an adrenal disorder. They articulate practical postulates regarding the diagnostic procedures, perioperative care and operative techniques. Key words: suprarenal tumors, secondary hypertension, incidentalom.
