腎上腺腫瘤為罕見疾病，因為沒有症狀，診斷不易。醫師指出，如果高血壓患者吃藥後仍無法有效控制，甚至出現心悸、盜汗、月亮臉與水牛肩等其他症狀，就有可能是腎上腺腫瘤在作怪，要立即接受進一步檢查和治療，以及危及性命。
高血壓通常只要吃藥就能控制，但如果是因為腎上腺瘤引發的高血壓，吃藥也沒有效果。根據統計，每1000個血壓高病人，平均就有5個是由腎上腺瘤導致。腎上腺是內分泌腺之一，若是有腫瘤細胞病變，會有死亡風險。
台南市安南醫院泌尿科林育緯醫師指出，如果高血壓患者服藥後，效果不佳，甚至還出現心悸、盜汗、月亮臉與水牛肩等其他症狀，嚴重時還會有電解質不平衡的情形如低血鉀，進而導致胸悶、手腳無力，這時候有可能就是腎上腺腫瘤在作怪。
對於疑似腎上腺腫瘤的病人，已有完整並且詳細的檢查流程，包括抽血驗尿檢驗腎上腺激素、電腦斷層或核磁共振影像檢查、核子醫學檢查等，如此一來能夠讓醫生判斷是否有過度分泌激素的腎上腺腫瘤，並進一步決定是否需要馬上接受手術切除或是追蹤觀察。
醫師表示目前腎上腺腫瘤切除手術大多採用腹腔鏡微創手術，手術時間相對於傳統手術不僅來的短，手術傷口也較小，術後恢復快，另外目前還有更新的技術包括3D腹腔鏡與達文西機械手臂，對於腎上腺腫瘤的切除過程中更能減少術中不必要的出血。
腎上腺腫瘤一般發現時大約是1至2公分，如果大到4至6公分以上就可能是惡性病變。醫師強調腎上腺腫瘤通常不易發現，有持續性不易控制的高血壓或是上述症狀的病人，應該要儘早來泌尿科做相關檢查才能早期發現早期治療。
Adrenal tumors are rare diseases that are difficult to diagnose because they have no symptoms. The doctor pointed out that if the hypertensive patients can not effectively control after taking the medicine, and even other symptoms such as palpitations, night sweats, moon face and buffalo shoulders, it may be that the adrenal tumor is blaming, and should be immediately examined and treated, and life-threatening. .
Hypertension is usually controlled by taking medicine, but if it is because of the high blood pressure caused by adrenal adenoma, taking medicine has no effect. According to statistics, on average, 5 out of every 1,000 high blood pressure patients are caused by adrenal adenomas. The adrenal gland is one of the endocrine glands, and there is a risk of death if there is a tumor cell lesion.
Dr. Lin Yuwei, Department of Urology, Annan Hospital, Tainan City, pointed out that if patients with hypertension take the drug, the effect is not good, and there are even other symptoms such as palpitations, night sweats, moon face and buffalo shoulders. In severe cases, there will be electrolyte imbalance such as low blood. Potassium, which leads to chest tightness, weakness of hands and feet, may be the adrenal tumor at this time.
For patients with suspected adrenal tumors, a complete and detailed examination procedure has been performed, including blood test urine test for adrenal hormones, computed tomography or magnetic resonance imaging, nuclear medicine examination, etc., so that doctors can judge whether there is excessive secretion of hormones. Adrenal tumors and further decide whether immediate resection or follow-up is needed.
Physicians say that most of the current adrenalectomy are laparoscopic minimally invasive surgery. The operation time is not only shorter than that of traditional surgery, but also the surgical wound is small, and the postoperative recovery is fast. In addition, there are newer technologies including 3D laparoscopy and Dawen. The Western robotic arm can reduce unnecessary bleeding during surgery for the removal of adrenal tumors.
Adrenal tumors are generally found to be about 1 to 2 cm, and if they are as large as 4 to 6 cm, they may be malignant. Physicians emphasize that adrenal tumors are usually not easy to detect. Patients with persistently uncontrollable hypertension or the above symptoms should go to the urology department as soon as possible to find early treatment.
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Laennec is the ethical drug manufactured with JBP’s unique technologies for effective extraction of variety of growth factors, cytokines, and other physiologically active substances from the human placenta. For instance, HGF (hepatocyte growth factor) promotes the proliferation of hepatic parenchymal cells for recovery of a damaged liver. Our product safety is ensured by the most rigid safety measures among existing scientific standards.
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