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  • Title: [Computer tomographic localisation in primary aldosteronism. Comparison with adrenal scintigraphy (author's transl)].
    Author: Galanski M, Fischer M, Cramer BM, Friemann J, Vetter H.
    Journal: Rofo; 1980 Dec; 133(6):629-33. PubMed ID: 6453793.
    Abstract:
    13 patients with verified primary aldosteronism (unilateral adrenal adenoma = 10, bilateral idiopathic hyperplasia = 3) underwent examination by CT and 131J-cholesterol-scintigraphy. CT-scan can successfully employed for localization of unilateral adenoma exceeding 10 mm in diameter. Small lesions and hyperplasia are rare CT-findings. The value of 131J-cholesterol-scintigraphy for differentiation of the two main subgroups of primary aldosteronism--adenoma and hyperplasia--is limited. In our experience both non-invasive methods are helpful to avoid misleading interpretation. In controversial cases bilateral adrenal venous blood sampling by catheterization is mandatory.
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