Manejo farmacológico y quirúrgico de hipertensión arterial secundaria a tumores de la glándula suprarrenal.

Abstract

Introduction: Arterial hypertension is a pathology that affects 30-40% of the world population, of these 10% belongs to secondary hypertension, which is resolved with a specific treatment, among the causes of secondary hypertension we find the endocrine ones, and within these we have those caused by tumors of the adrenal gland.Development: There are several adrenal tumors, we will talk about functioning ones, which are those that cause hypertension, among them we have adenomas that can cause primary hyperaldosteronism and Cushing's syndrome, pheochromocytoma and adrenal carcinoma, for their proper management, the diagnosis must be made. biochemical, cytological and then imaging, to decide the appropriate treatment according to the case, regardless of the case there is pharmacological treatment and surgical treatment, the best treatment will be chosen in relation to the patient's condition and the characteristics of the tumor.Conclusion: The treatment of choice for functional adrenal tumors is removal of the tumor, the route of choice is laparoscopy in all tumors, and the method is left open for tumors that are difficult to access, large tumors, carcinomas with metastases to adjacent tissues, criteria will vary depending on each tumor and the patient's condition, pharmacological treatment is used for those patients who do not want surgery, is contraindicated and as preoperative treatment to avoid intra and postoperative complications.