Absztrakt:
Bevezetés: A Gardner-syndroma a Familiaris Adenomatosus
Polyposis klinikai altípusa, egy igen ritka autoszomálisan öröklődő betegség,
amelyet a gastrointestinalis traktus polyposisa, valamint extraintestinalis
elváltozásként multiplex osteomák, bőr- és lágyrésztumorok jellemeznek.
A szerzők egy férfi betegük kapcsán áttekintik a Gardner-syndroma
diagnosztikáját, kezelését, gondozását, valamint felhívják a figyelmet arra,
hogy a ritka betegségcsoportok ismerete az ellátás mindegyik szintjén fontos –
kiváltképp a nagy forgalmú osztályokon történő korrekt betegellátás
szempontjából.
Adenomatoid tumors of the adrenal gland are rather rare, asymptomatic neoplasias with benign behavior and usually are diagnosed incidentally. The authors report a case of an adenomatoid tumor of the right adrenal gland in a 32-year-old man who sought evaluation because of fever and renal pain. During investigation a tumor, localized in right adrenal gland, was identified by ultrasonography and CT. The patient underwent adrenalectomy with histopathological and immunohistochemical diagnosis of adenomatoid tumor of the adrenal gland. Based on literature data the epidemiology, symptoms, differential diagnosis, treatments, histopathology and prognosis of adenomatoid tumors of the adrenal gland are discussed.
No indication has been left for subtotal resection. Even if benign multinodular goitre is present, since the clinical and pathophysiological evidences suggest that multinodular goitre affects the entire gland, any surgery that leaves potentially abnormal thyroid tissue in situ carries a risk of recurrent disease. RLN palpatory method is a useful part of thyroid surgery but it is suitable for rough orientation only.
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