Treatment of Aldosterone‐Secreting Adrenocortical Tumors in Cats by Unilateral Adrenalectomy: 10 Cases (2002–2012)

Journal of Veterinary Internal Medicine

A.J. Lo¹  D.E. Holt¹  D.C. Brown¹  M.D. Schlicksup²  R.J. Orsher³ 

[1] Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA;Veterinary Specialty Care, North Charleston, SC;Veterinary Specialty and Emergency Center, Levittown, PA

关键词: Adrenal tumor;    Feline;    Hypertension;    Hypokalemia;   

DOI  :  10.1111/jvim.12186

来源: Wiley

【 摘 要 】

Abstract

Background

Primary hyperaldosteronism (PHA) in cats occurs as a consequence of excessive hormone production by an adrenocortical tumor. Median survival time, association between tumor type and prognosis, and the likelihood that cats require continued medical therapy after surgery have not been systematically evaluated.

Objectives

To determine the median survival time of cats with PHA treated by unilateral adrenalectomy. To examine if tumor type, anesthesia time, or tumor location (left or right side) affect survival and if affected cats require continued postoperative treatment for persistent hypertension or hypokalemia.

Animals

Ten client-owned cats.

Methods

Retrospective study. Cats were diagnosed with PHA based on clinical signs, increased plasma aldosterone concentration, and advanced imaging. Cats underwent unilateral adrenalectomy. Survival time (days alive after surgery) was determined for each cat. Factors affecting median survival time were investigated, including histopathology, anesthesia time, and location (side) of the tumor.

Results

Eight of 10 cats survived to discharge from the hospital post adrenalectomy. Overall median survival was 1,297 days (range 2–1,582 days). The only significant factor affecting median survival time was anesthesia time >4 hours. Tumor type and location (side) did not significantly affect median survival time. No cats required continued medical treatment for PHA.

Conclusions and Clinical Importance

Although PHA in cats is still considered an uncommon condition, it should be considered in middle to older aged cats with hypokalemic polymyopathy and systemic hypertension. Surgical correction by unilateral adrenalectomy is a viable approach to definitive treatment of PHA with no need for continued medical management.

【 授权许可】

Unknown   
Copyright © 2013 by the American College of Veterinary Internal Medicine