Technik der real-time-Ultraschalluntersuchung von Nebenniere und Nebennierentumoren

Abstract

A prospective examination was carried out to determine the optimum technique for demonstrating the adrenal glands; there were 60 normal persons, 16 with small adrenal tumours (average size 13 mm.) and 10 with large adrenal tumours (average size 38 mm.). A normal adrenal gland was identified only once amongst the 60 patients as a hypoechoic structure. Fifteen of the 16 small, and eight of nine large tumours could be demonstrated sonographically. An intercostal approach was particularly suitable for showing the suprarenal region and for small tumours. Large tumours could be shown by a ventral, lateral or dorsal approach.

Chirurgie der kindlichen Nebenniere. Operationstaktik, intra- und perioperative Überwachung

“…. Trotz der hohen Treffsicherheit präoperatIver bIochemIscher und morphologischer diagnostischer Methoden (I, 8,17,22,27,40) ist bei der Operation die gegenseitige Nebenniere zu inspizieren. Es muß auch nach einem extraadrenalen Prozeß gesucht werden.…”