SURGICAL INTERVENTION in cases of adrenal medul’ lary tumor has been performed with increasing frequency in recent years. The degree of shock during and immediately following surgical removal of a phaeochromocytoma associated with paroxysmal hypertension, on analysis of the recorded cases, is unduly severe when correlated with the extent of the operation. A successful extirpation of this tumor is curative in a high percentage of the cases, as indicated in the reports concerned with the clinical, diagnostic and surgical aspects (1, 2, 3) of this disease. However, insufficient attention has been directed to those procedures, both preoperative and postoperative, which influence greatly the successful outcome of the individual case. Those reported cases in which the tumor was attacked surgically have been selected for study to determine the factors that are important in obtaining a surgical cure. These cases are summarized in table 1, with data concerning the age, sex, clinical manifestations, diagnostic roentgenologic studies, preoperative and postoperative treatments and present condition.
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Biskind et al. (1941) studied this question.