The Suprarenal Cortical Syndrome With Presentation of Ten Cases

Walters, Waltman; Wilder, Russell M.; Kepler, Edwin J.

doi:10.1097/00000658-193410000-00010

Cited by 73 publications

(12 citation statements)

References 1 publication

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“…An abdominal approach also permits examination of the ovary for suspected tumors. 95 - 655 Crile 655 has emphasized the danger of handling the glands, the delicacy of which we have already discussed in Chapter III.…”

Section: Surgery Of the Human Adrenalmentioning

confidence: 99%

The adrenals, by Arthur Grollman.

Grollman¹

1936

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in man and in certain animals as composed in early life of three distinct physiological entities-the medulla, the cortex, and the androgenic tissue. The last named term has been coined to describe that portion of the adrenal which, in certain pathological conditions, gives rise to disorders of the reproductive system. This view of the tripartite nature of the adrenal is supported by many well-established facts. It affords a rational explanation of the relation of the adrenals to certain pathological conditions of the reproductive system and avoids assuming a relation between the cortex proper and the sex glands as previous writers have unjustifiably done.Many of the views expressed in the present volume are based on the results of experimental studies in which my colleagues, to whom I am deeply indebted, have collaborated. Dr. Warfield M. Firor has performed surgical operations and enthusiastically cooperated in these researches; Dr. Evelyn Howard is jointly responsible for the studies dealing with the relation of the adrenals to the reproductive system; and Mr. Ellis Grollman has aided in the preparation of the adrenal extracts.I wish also to express my sincere appreciation to the publishers for their cooperation and unfailing courtesies.A. G. Baltimore, Maryland. * Superior figures refer to the numbered entries of the bibliography. For the literature before 1850, the reader is referred to the excellent historical reviews of Biedl 66 and Shumacker. 6661' 1 ANATOMY early state of differentiation is in reality due to the presence of epinephrine is demonstrated by the inhibition of intestinal movements by extracts of this tissue. 317 • 669 ACCESSORY ADRENAL BODIES The tissues of the adrenals are not confined to that which occurs in the main glands. As we have already seen, the medullary tissue is only one part of a widely distributed chromaphil system. The cortical tissue is also composed of several masses of glandular tissue located at a considerable distance from the main gland. Previous writers have considered all of this tissue, because of a similarity in its gross histological appearance, as being functionally part of the same tissue.This view, however, is not supported by physiological or pathological findings and we shall, therefore, classify the cortical (or interrenal tissue) into two groups: 1) the true cortical tissue and 2) the androgenic tissue. The cortical tissue proper elaborates a hormone essential for life. It forms the outer layers of the adrenal gland and occurs at times as accessory adrenal bodies in the near vicinity of the adrenal.A second part of the cortical tissue, resembling the first histologically in many respects, occurs as the internal layer of the cortex in certain animals during the early period of development, but soon disappears (except under some pathological conditions).This tissue also appears in the form of temporary accessory bodies which are widely distributed. The second type of cortical tissue shall be designated as the androgenic tissue because of its masculinizing effect...

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Section: Surgery Of the Human Adrenalmentioning

confidence: 99%

The adrenals, by Arthur Grollman.

Grollman¹

1936

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“…В том же году, C. Mayo повторил успех швейцарского коллеги, удалив феохромоцитому у пациентки, страдавшей пароксизмами артериальной гипертензии [3]. W. Walters в 1934 году представил результаты хирургического лечения пациентов с синдромом Кушинга [4]. Они были неутешительными, летальность составляла 30%.…”

Section: историческая справкаunclassified

Progress in adrenal surgery: future widening of indications for the gold standard treatment

Хрипун¹,

Иванович²,

Makhuova

et al. 2019

Endo Serg

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Laparoscopic adrenalectomy is regarded as a golden standard for surgical treatment of patients with adrenal pathology. Its advantages over the traditional surgery were shown by the experience and it explain commitment of surgeons to this method. However, implementation of this surgery is still discussible in some groups of the patients. Most relevant questions arouse about using laparoscopic technologies in patients with huge and malignant adrenal tumors. Objectively worse outcomes in these groups of patients and concerns about oncological results dictate need for future researches in this sphere. The article is devoted to the last achievements in adrenal surgery, connected with the implementation and wide spreading of laparoscopic operations. It covers most discussible in medical literature indications for such kind of surgery. Major attention is given to the modern concepts of indications and contraindications for laparoscopic procedures. A review of complications is done and we discuss ways of preventing them. Also, the article addresses to the role of endovascular embolization, in particular to the preoperative embolization, in complex treatment of patients with adrenal tumors.

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“…22 In 1934, Walters et al at the Mayo Clinic were the first to report ten cases of subtotal adrenalectomy for patients with "suprarenal cortical syndrome", with a mortality rate of 30% despite using Kendall's potent cortical extracts. 23 In 1936, Hugh Young of Johns Hopkins reported a posterior approach with the removal of the 12th rib for simultaneous exposure of both adrenals in Cushing patients. 24 In 1949, James Priestley at the Mayo Clinic reported his experience in 29 adrenalectomized patients with Cushing syndrome.…”

Section: Sirmentioning

confidence: 99%