Abstract
If there is strong clinical and laboratory evidence to suggest the presence of adrenal pathology, the presence or absence of and localization of the abnormality should be demonstrated radiologically for surgery.
We recently had three cases of adrenal adenomas, two cases of Cushing's syndrome and one case of primary hyperaldosteronism. The evaluation of the radiological approach to adrenal adenomas was discussed in these cases.
In relatively large adrenal adenomas, localization of the adenoma can be relatively easily recognized radiologically. It is emphasized that adrenal scintiphotogram by NCL-6-131I is not only non-invasive but also is usuful study to detect adrenal adenomas.
If the scintiphotogram is equivocal because of being small, selective adrenal venography with blood sampling from the adrenal vein for hormone assay would be of value.
