Discussion

DR QUAN-YANG DUH (San Francisco, CA): About half of the patients with primary aldosteronism are curable by adrenalectomy. The other half have bilateral disease and are treated medically. It is sometimes difficult to distinguish between the medical vs surgical primary aldosteronism because aldosteronomas tend to be small, and incidental nonfunctioning adenomas can be found in 1% of patients at age 30 years and 7% at age 70 years. The potential inaccuracy of CT scan is a reason why the adrenal vein sampling is used.

Source: Journal of the American College of Surgeons - June 24, 2019 Category: Surgery Tags: Western surgical association article Source Type: research