B. Chait
MD, director of the clinic KHAIBORMED
Two similar cases, but with a different ending begins simultaneously in
Russian capital, and in one of the Far East cities of Russia. Their
unexpected has happened in our clinic in Israel.
In one case a young man, and another young woman were examined by
residence in connection with high blood pressure. Were made
good studies and CT (computed tomography) in both cases was
revealed an adrenal gland tumor.
General medical information.
adrenal glands are small (less than 1910 weight), but very important hormonal
glands, located one above the top of the right and left kidney. Adrenal
highlights the famous hormones, among which the most famous readers
testosterone, cortisol, epinephrine, and others. Adrenal glands control many
body functions.
Tumors of the adrenal gland may be benign or malignant, but the exact
diagnostic criteria (except for the histological) not so every time you
detection of medical education in the adrenal gland is necessary to solve the issue of
the need for surgery or the possibility of observation. In the usual observation
the risk of missed malignancy, so the decision to
choice of tactics difficult.
Both of our patients tumor size was small, while at the same time and in fact
In either case, Russian doctors were offered surgery. Solution is quite
justified. It is tase in the Far East honestly admitted that such
operations they do not have and have advised the patient to go to Moscow, but he
I went to see us, that is, in Israel. And here I beg to draw attention to a very important
moment. In both cases, Russia has been recommended and offered abdominal
operation, ie conventional surgery. "Well, there are other
options? ", you ask. "Of course».
As usual, I began corresponding with patients with a discussion of general issues and
the first thing I was confused, this is a proposal abdominal operation. "Under such
tumors produce a laparoscopic removal rather than abdominal surgery -
I have written to patients - Come, let us understand. " A further look at both
patients separately, because their stories have developed differently.
Far patient we performed additional tests, including
wide hormonal profile, confirmed the presence of education no less than 2 cm in
diameter, carried out an operation - laparoscopic adrenalectomy. On the third day
After surgery, he left the hospital, keeping the "full working capacity, and more
a couple of days flew home.
Muscovite, we carefully examined, but the adrenal tumor is simply not found.
To prevent errors, we asked discs CT from Moscow, which was
posed a serious diagnosis on the basis of which was suggested by abdominal
operation. After repeated revision of the images of individual specialists,
Surgery, Professor diagnostician consultation in Israel data for tumor
adrenal glands were found. So, not only for abdominal surgery, but
for laparoscopic also evidence did not exist. The patient arrived on time
us.
Instasctive story? I think that is.
Finish with the same words as before. I understand the difficulties of treatment for
abroad. And yet, life is something we have one. And if there was a misfortune, it is necessary
try to get into the hands of those with a maximum benefit can he
resist. And, perhaps, unhappiness, and did not.
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