RE: An answer to the question if cyberknife can eliminate adrenal adenomas

[Guest guest]

They are not adrenal experts.

How small is small? I have seen them as small a 3 mm.

On Apr 2, 2008, at 7:50 AM, Ellen wrote:

> Hello. I've checked with our radiation oncologists and our surgeons

> about treating an adrenal adenoma. It seems to be a bit of a judgement

> call.

> The exact answer is:

> Technically, we can treat adrenal lesions.

> Usually for smaller adenomas, no treatment is needed.

> If larger or is getting larger, surgical excision is indicated to rule

> out malignancy.

>

> Hope this is helpful.

>

> Jo-Ann Munderloh, RN

> Cyberknife Nurse Coordinator

>

> I was surprised that they didn't know that adrenal adenomas are

> benign.

> Ellen

>

>

May your pressure be low!

CE Grim BS, MS, MD

High Blood Pressure Consulting

Specializing in Difficult to Manage High Blood Pressure

Consult the following at for details

bloodpressureline

hyperaldosteronism

[Guest guest]

Well, I suppose it would bear more investigation. They didn't say how

small. You could call someone at the webpage for cyberknife treatment that I

sent initially for more details.

Ellen

Clarence Grim wrote:

> They are not adrenal experts.

>

> How small is small? I have seen them as small a 3 mm.

>

> On Apr 2, 2008, at 7:50 AM, Ellen wrote:

>

> > Hello. I've checked with our radiation oncologists and our surgeons

> > about treating an adrenal adenoma. It seems to be a bit of a judgement

> > call.

> > The exact answer is:

> > Technically, we can treat adrenal lesions.

> > Usually for smaller adenomas, no treatment is needed.

> > If larger or is getting larger, surgical excision is indicated to rule

> > out malignancy.

> >

> > Hope this is helpful.

> >

> > Jo-Ann Munderloh, RN

> > Cyberknife Nurse Coordinator

> >

> > I was surprised that they didn't know that adrenal adenomas are

> > benign.

> > Ellen

[Guest guest]

In fact according to Dr. Young, at Mayo Clinic, any adenoma smaller than

1/2 cm is more likely to over produce Aldo. than the larger adenomas. Larger

adenomas according to them is not call for concern. Many doctors tend to

remove an adrenal gland erroneously judging only by the size of the adenoma

and may end up taking out the wrong gland. Because of which it is necessary

to do an AVS prior to adrenolectomy.

I should try to post the article from Mayo Clinic but I have to find it

first

Farah

On Wed, Apr 2, 2008 at 1:40 PM, Ellen <rhudy@...> wrote:

> Well, I suppose it would bear more investigation. They didn't say how

> small. You could call someone at the webpage for cyberknife treatment that

> I

> sent initially for more details.

> Ellen

>

> Clarence Grim wrote:

>

> > They are not adrenal experts.

> >

> > How small is small? I have seen them as small a 3 mm.

>

> >

> > On Apr 2, 2008, at 7:50 AM, Ellen wrote:

> >

> > > Hello. I've checked with our radiation oncologists and our surgeons

> > > about treating an adrenal adenoma. It seems to be a bit of a judgement

> > > call.

> > > The exact answer is:

> > > Technically, we can treat adrenal lesions.

> > > Usually for smaller adenomas, no treatment is needed.

> > > If larger or is getting larger, surgical excision is indicated to rule

> > > out malignancy.

> > >

> > > Hope this is helpful.

> > >

> > > Jo-Ann Munderloh, RN

> > > Cyberknife Nurse Coordinator

> > >

> > > I was surprised that they didn't know that adrenal adenomas are

> > > benign.

> > > Ellen

>

>

>

[Guest guest]

I would like to see some research/writing on it. Bet they've never done it.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Ellen

Well, I suppose it would bear more investigation. They didn't say how

small. You could call someone at the webpage for cyberknife treatment that I

sent initially for more details.

Ellen

Clarence Grim wrote:

> They are not adrenal experts.

>

> How small is small? I have seen them as small a 3 mm.

>

> On Apr 2, 2008, at 7:50 AM, Ellen wrote:

>

> > Hello. I've checked with our radiation oncologists and our surgeons

> > about treating an adrenal adenoma. It seems to be a bit of a judgement

> > call.

> > The exact answer is:

> > Technically, we can treat adrenal lesions.

> > Usually for smaller adenomas, no treatment is needed.

> > If larger or is getting larger, surgical excision is indicated to rule

> > out malignancy.

[Guest guest]

The echo is bad in here.

Dr. Grim has been saying this for 20+years.

On Apr 2, 2008, at 5:34 PM, Farah Rahbar wrote:

> In fact according to Dr. Young, at Mayo Clinic, any adenoma smaller

> than

> 1/2 cm is more likely to over produce Aldo. than the larger adenomas.

> Larger

> adenomas according to them is not call for concern. Many doctors tend

> to

> remove an adrenal gland erroneously judging only by the size of the

> adenoma

> and may end up taking out the wrong gland. Because of which it is

> necessary

> to do an AVS prior to adrenolectomy.

> I should try to post the article from Mayo Clinic but I have to find

> it

> first

>

> Farah

>

> On Wed, Apr 2, 2008 at 1:40 PM, Ellen <rhudy@...> wrote:

>

> > Well, I suppose it would bear more investigation. They didn't say

> how

> > small. You could call someone at the webpage for cyberknife

> treatment that

> > I

> > sent initially for more details.

> > Ellen

> >

> > Clarence Grim wrote:

> >

> > > They are not adrenal experts.

> > >

> > > How small is small? I have seen them as small a 3 mm.

> >

> > >

> > > On Apr 2, 2008, at 7:50 AM, Ellen wrote:

> > >

> > > > Hello. I've checked with our radiation oncologists and our

> surgeons

> > > > about treating an adrenal adenoma. It seems to be a bit of a

> judgement

> > > > call.

> > > > The exact answer is:

> > > > Technically, we can treat adrenal lesions.

> > > > Usually for smaller adenomas, no treatment is needed.

> > > > If larger or is getting larger, surgical excision is indicated

> to rule

> > > > out malignancy.

> > > >

> > > > Hope this is helpful.

> > > >

> > > > Jo-Ann Munderloh, RN

> > > > Cyberknife Nurse Coordinator

> > > >

> > > > I was surprised that they didn't know that adrenal adenomas are

> > > > benign.

> > > > Ellen

> >

> >

> >

>

>