Pathological classification and surgical prognosis of idiopathic hyperaldosteronism
Objective There are a few reports on surgical treatment of idiopathic hyperaldosteronism (IHA),pathological profile and prognosis. The clinical and pathological characteristics and prognosis of 23 patients with IHA were retrospectively analyzed in order to support potential improvement of diag...
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| Format: | Article |
| Language: | zho |
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Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.
2021-10-01
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| Series: | Jichu yixue yu linchuang |
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| Online Access: | http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a210243.pdf |
| _version_ | 1797365742492975104 |
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| author | WANG Hui-ping, CUI Yun-ying, MA Xiao-sen, WEN Jin, REN Wei-dong, TONG An-li |
| author_facet | WANG Hui-ping, CUI Yun-ying, MA Xiao-sen, WEN Jin, REN Wei-dong, TONG An-li |
| author_sort | WANG Hui-ping, CUI Yun-ying, MA Xiao-sen, WEN Jin, REN Wei-dong, TONG An-li |
| collection | DOAJ |
| description | Objective There are a few reports on surgical treatment of idiopathic hyperaldosteronism (IHA),pathological profile and prognosis. The clinical and pathological characteristics and prognosis of 23 patients with IHA were retrospectively analyzed in order to support potential improvement of diagnosis and treatment outcome. Methods Clinical characteristics of 23 patients with IHA were analyzed retrospectively. HE staining and CYP11B2 immunostaining were performed for pathological microsocopic observation. Pathological features and surgical prognosis were analyzed. Results All samples were categorized as nonclassic pathology, including 12 cases with multiple aldosterone-producing nodules,10 cases with multiple or single aldosterone-producing micronodules. Only one case had aldosterone-producing diffuse hyperplasia. Unilateral adrenal resection was performed in all patients. Postoperatively, blood pressure and serum potassium recovered to normal range in 6 patients with a cure rate 26%. Blood pressure decreased but did not return to normal in 17 patients (improve rate 74%). Compared with the improved group, patients in the cured group had a lower pre-operative blood pressure (P＜0.05). Conclusions Multiple functional nodules and micronodules are the main types in adrenal pathology of IHA. Unilateral adrenal resections probably bring clinical benefits in these patients. |
| first_indexed | 2024-03-08T16:54:14Z |
| format | Article |
| id | doaj.art-bef3be736bb044979ce11d3f3c327e1c |
| institution | Directory Open Access Journal |
| issn | 1001-6325 |
| language | zho |
| last_indexed | 2024-03-08T16:54:14Z |
| publishDate | 2021-10-01 |
| publisher | Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College. |
| record_format | Article |
| series | Jichu yixue yu linchuang |
| spelling | doaj.art-bef3be736bb044979ce11d3f3c327e1c2024-01-05T03:07:14ZzhoInstitute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.Jichu yixue yu linchuang1001-63252021-10-01411014811485Pathological classification and surgical prognosis of idiopathic hyperaldosteronismWANG Hui-ping, CUI Yun-ying, MA Xiao-sen, WEN Jin, REN Wei-dong, TONG An-li01. Department of Endocrinology, Key Laboratory of Endocrinology, National Health Commission of China;3. Department of Urology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730;;2. Graduate School, Hebei North University, Zhangjiakou 075000, ChinaObjective There are a few reports on surgical treatment of idiopathic hyperaldosteronism (IHA),pathological profile and prognosis. The clinical and pathological characteristics and prognosis of 23 patients with IHA were retrospectively analyzed in order to support potential improvement of diagnosis and treatment outcome. Methods Clinical characteristics of 23 patients with IHA were analyzed retrospectively. HE staining and CYP11B2 immunostaining were performed for pathological microsocopic observation. Pathological features and surgical prognosis were analyzed. Results All samples were categorized as nonclassic pathology, including 12 cases with multiple aldosterone-producing nodules,10 cases with multiple or single aldosterone-producing micronodules. Only one case had aldosterone-producing diffuse hyperplasia. Unilateral adrenal resection was performed in all patients. Postoperatively, blood pressure and serum potassium recovered to normal range in 6 patients with a cure rate 26%. Blood pressure decreased but did not return to normal in 17 patients (improve rate 74%). Compared with the improved group, patients in the cured group had a lower pre-operative blood pressure (P＜0.05). Conclusions Multiple functional nodules and micronodules are the main types in adrenal pathology of IHA. Unilateral adrenal resections probably bring clinical benefits in these patients.http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a210243.pdfidiopathic hyperaldosteronism|pathological classification|surgical prognosis |
| spellingShingle | WANG Hui-ping, CUI Yun-ying, MA Xiao-sen, WEN Jin, REN Wei-dong, TONG An-li Pathological classification and surgical prognosis of idiopathic hyperaldosteronism Jichu yixue yu linchuang idiopathic hyperaldosteronism|pathological classification|surgical prognosis |
| title | Pathological classification and surgical prognosis of idiopathic hyperaldosteronism |
| title_full | Pathological classification and surgical prognosis of idiopathic hyperaldosteronism |
| title_fullStr | Pathological classification and surgical prognosis of idiopathic hyperaldosteronism |
| title_full_unstemmed | Pathological classification and surgical prognosis of idiopathic hyperaldosteronism |
| title_short | Pathological classification and surgical prognosis of idiopathic hyperaldosteronism |
| title_sort | pathological classification and surgical prognosis of idiopathic hyperaldosteronism |
| topic | idiopathic hyperaldosteronism|pathological classification|surgical prognosis |
| url | http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a210243.pdf |
| work_keys_str_mv | AT wanghuipingcuiyunyingmaxiaosenwenjinrenweidongtonganli pathologicalclassificationandsurgicalprognosisofidiopathichyperaldosteronism |