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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1986-8-6
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pubmed:abstractText |
Unilateral adrenalectomy for benign causes of primary aldosteronism is an established procedure. The established surgical cure for aldosterone-producing adenoma justifies a thorough preoperative evaluation. No single test accurately identifies aldosterone-producing adenomas in patients with primary aldosteronism. However, a useful algorithm combines postural studies, computerized axial tomography, and adrenal vein catheterization for selective hormonal assay, if computerized axial tomography is negative or equivocal and the suspicion of aldosterone-producing adenoma is high. If an adrenal mass is present and biochemical studies suggest a diagnosis of aldosterone-producing adenoma, resection of the affected gland from a limited unilateral approach is indicated. Cure can be expected in 80 percent of cases. In the uncommon circumstance that the adrenal tumor was not an aldosterone-producing adenoma but a hyperplastic nodule, these patients may still be cured or more easily controlled with antihypertensive medications. Thirty-eight patients who underwent unilateral adrenalectomy are presented and discussed.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0002-9610
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
152
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
116-21
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:3728804-Adenoma,
pubmed-meshheading:3728804-Adrenal Gland Neoplasms,
pubmed-meshheading:3728804-Adrenal Glands,
pubmed-meshheading:3728804-Adrenalectomy,
pubmed-meshheading:3728804-Adult,
pubmed-meshheading:3728804-Female,
pubmed-meshheading:3728804-Humans,
pubmed-meshheading:3728804-Hyperaldosteronism,
pubmed-meshheading:3728804-Hyperplasia,
pubmed-meshheading:3728804-Male
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pubmed:year |
1986
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pubmed:articleTitle |
Primary aldosteronism: changing concepts in diagnosis and management.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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