Diseasewiki.com

Home - Disease list page 179

English | 中文 | Русский | Français | Deutsch | Español | Português | عربي | 日本語 | 한국어 | Italiano | Ελληνικά | ภาษาไทย | Tiếng Việt |

Search

Lower abdomen >

  Adrenal tumors

  The classification of adrenal tumors can be divided into benign tumors and malignant tumors according to their nature; divided into non-functional tumors and functional tumors according to whether they have endocrine function (such as causing hypertension by secreting a certain hormone); and divided into cortical tumors, medullary tumors, stromal tumors, or metastatic tumors according to the site of occurrence. Clinically, adrenal tumors that require surgical intervention are usually functional tumors or highly suspected to be malignant (or difficult to distinguish between benign and malignant before surgery).

  The adrenal glands are an important endocrine organ in the body. Due to their close relationship with the kidneys, they have traditionally been classified as urological diseases. There is one adrenal gland on each side of the human body, located retroperitoneally, and its lateral side is closely adjacent to the upper medial side of both kidneys. The shape and size of the adrenal glands look like the slightly bent last finger of an adult at first glance, and the head, body, and tail of the three parts are also like the last finger from the root to the tip. However, if you look carefully, the right adrenal gland is triangular, and the left adrenal gland is crescent-shaped. The former crosses the right pole of the kidney medially, and the latter hangs down from the left pole of the kidney medially. Their lengths, widths, and thicknesses are 4.0 cm to 6.0 cm, 2.0 cm to 3.0 cm, and 0.3 cm to 0.6 cm, respectively. The normal weight of the adrenal glands is about 4.0 to 5.0 grams.

The adrenal glands themselves are very small in size, but the size of the tumors they grow varies greatly. Usually, those with a diameter of less than 3 cm are called small tumors, the smallest being less than 1 cm, and the largest can reach ten to thirty centimeters. The shape of the tumor can be like beans, peaches, plums, apples, cantaloupe, and so on.

Table of contents
1. What are the causes of adrenal tumor onset
2. What complications are easily caused by adrenal tumors
3. What are the typical symptoms of adrenal tumors
4. How should adrenal tumors be prevented
5. What laboratory tests need to be done for adrenal tumors
6. Dietary taboos for patients with adrenal tumors

7. Conventional methods of Western medicine for the treatment of adrenal tumors. 1

  What are the causes of adrenal tumor onset

The etiology of adrenal tumors is unclear. There are some reports that adenomas or adenocarcinomas occur on the basis of long-term chronic ACTH (adrenocorticotropic hormone) and nodular hyperplasia of the adrenal glands. However, there is no direct evidence of a relationship between ACTH stimulation and tumors. With the progress of molecular biology research, there have been advances in the understanding of the occurrence and development mechanisms of tumors, especially malignant tumors, from the biological studies of oncogenes and tumor suppressor genes. Among them, the relationship between the P53 gene and the oncogenesis of various types of cancer in different parts and organs of the human body has been widely reported. However, the research on the P53 gene in adrenal tumors is still in the initial stage, the results are quite inconsistent, and its significance is difficult to determine. The loss, mutation, recombination, and inactivation of the P53 gene are closely related to the occurrence and development of cancer. The conclusions of various studies differ greatly, and the relationship between P53 gene mutations and adrenal malignant tumors, as well as their role in the pathogenesis, all require further discussion and research.. 肾上腺肿瘤容易导致什么并发症

  What complications can adrenal tumors easily lead to?

19. In addition to general symptoms, adrenal tumors can also cause other diseases. This disease is often accompanied by hypertension, and cerebral stroke, myocardial infarction, heart failure, and chronic kidney disease are its main complications. Therefore, once found, active treatment should be carried out, and preventive measures should also be taken in daily life.. What are the typical symptoms of adrenal tumors?

  Tumors can occur in both the cortex and medulla of the adrenal glands, and those that cause endocrine function variation are called functional tumors, while those that do not cause endocrine function changes are called non-functional tumors. The main categories are as follows:

  16. Cushing's syndrome is mainly a group of clinical manifestations caused by chronic increase in glucocorticoids, including a full moon face, a water buffalo back, central obesity, hirsutism, diabetes tendency, sexual dysfunction, menstrual disorders, sperm reduction, etc. It should be noted that more than half of children have cancer, and obvious feminization or masculinization in women and men, which also suggests a high possibility of cancer.

  15. The blood pressure of primary hyperaldosteronism gradually increases, and the effect of antihypertensive treatment is poor, with symptoms of hypokalemia and alkalosis (muscle weakness, muscle paralysis, arrhythmia, tetany, painful muscle spasms, etc.).

  14. Large amounts of adrenaline and norepinephrine are released by adrenal pheochromocytoma, which can cause vasoconstriction, increased heart rate, and thus trigger paroxysmal hypertension, accompanied by severe headache, pale skin, especially pale complexion, rapid heartbeat, tremors in the limbs and head, sweating, weakness, and sometimes chest tightness and shortness of breath, nausea, and vomiting.

  13. Non-functional tumors include metastatic tumors, hematomas, cysts, etc.

12. How to prevent adrenal tumors?

  To prevent adrenal tumors, attention should be paid to the following in daily life:

  9. Strengthen physical exercise, enhance physical fitness, and exercise more in the sunshine. Sweating can help expel acidic substances from the body through sweat, avoiding the formation of an acidic constitution.

  8. Maintain a good attitude towards stress, combine work and rest, and do not overwork. It can be seen that stress is an important trigger for cancer. Traditional Chinese medicine believes that stress leads to overwork and physical weakness, thus causing a decrease in immune function, endocrine disorders, internal metabolism disorder, and the deposition of acidic substances in the body; stress can also lead to mental tension, causing qi stagnation and blood stasis, internal fire invasion, and other symptoms.

  7. Do not eat too much salty and spicy food, and do not eat overheated, cold, expired, or spoiled food; the elderly, the weak, or those with certain genetic predispositions to diseases should eat some cancer-preventive foods and alkaline foods with high alkaline content as appropriate.

  6. Maintain a good mental state, develop good living habits, quit smoking and limit alcohol consumption. Cigarettes and alcohol are extremely acidic substances. People who smoke and drink for a long time are prone to develop an acidic constitution. Timely treatment upon discovering a disease is the key.

5. What laboratory tests are needed for adrenal tumors?

  Adrenal tumors include Cushing's syndrome and aldosterone syndrome, and the respective examination items are as follows:

  I. Cushing's syndrome

  The size, nature, and relationship with surrounding structures of adrenal tumors need to be examined by B-ultrasound, CT, or MRI. Additionally, X-ray photographs of the frontal and lateral views of the sella turcica, tomography, and three-dimensional X-ray photographs of the sella turcica, as well as CT scans and magnetic resonance imaging, are required to diagnose the presence or absence of pituitary adenoma or microadenoma.

  Second, aldosteronism

  1. Measure the plasma potassium, sodium concentration, and 24-hour urine potassium excretion. Hypokalemia is spontaneous or prone to occur, or coexistent with hypokalemia, and should be highly suspected of this disease.

  2. Measure the plasma or 24-hour urine aldosterone concentration and plasma renin activity. In this disease, the plasma renin activity is below 2.46mol/L/h when standing, and the ratio of plasma aldosterone concentration to plasma renin activity is greater than 20.

  3. Negative aldosterone suppression test. The secretion of aldosterone in primary aldosteronism is autonomous, which can exclude primary hypertension and secondary aldosteronism.

  4. The secretion and excretion of corticosteroids are most normal.

  5. Oral sodium chloride suppression test: plasma aldosterone level above 554pmol/L, urine aldosterone value above 38.8nmol/24h, and urine sodium excretion exceeding 200μmol/24 can be diagnosed as primary aldosteronism.

6. Dietary taboos for patients with adrenal tumors

  The dietary care for patients with adrenal tumors is to maintain the good function of the adrenal glands, mainly focusing on three aspects:

  1. Nutritional supplementation:Drinking more milk. Supplementing nutrients such as vitamin D, B-group vitamins, vitamin C, and carotene can alleviate the symptoms of adrenal tumor. In addition, chrysanthemum plants can increase the number of white blood cells and ensure the resistance of tissues to bacterial invasion; ginseng helps the adrenal glands cope with stressful situations.

  2. Avoid using alcohol:Avoid using alcohol, caffeine, and tobacco, which have a highly toxic effect on the adrenal glands and other glands. Also avoid fatty, fried foods, ham, pork, highly processed foods, sodas, sugar, and white wheat flour, etc.

7. Conventional Methods of Western Medicine for Treating Adrenal Tumors

  At present, laparoscopic surgery has become the most commonly used method for treating adrenal tumors. Its advantages are evident: first, minimally invasive, that is, only a few small holes with a diameter of 1cm on the skin are needed to complete the resection of the tumor, and the postoperative recovery is quick, while the incisions of traditional open surgery are often more than ten centimeters, which slows down the postoperative recovery of the patient and affects the appearance; second, clear, due to the magnification effect of laparoscopy, the adrenal glands located very deeply are right in front of us, achieving a clear field of vision that cannot be matched by open surgery, and with the use of advanced cutting and separation instruments, the surgery is quite precise and bleeding is minimal.

Recommend: Renal pelvis tumors , Urethral fistula , Renal cell carcinoma , Fanconi syndrome , Renal tuberculosis , Acute renal小球肾炎

<<< Prev Next >>>



Copyright © Diseasewiki.com

Powered by Ce4e.com