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I. A MODIFIED AIR INJECTION ROENTGEN TECHNIC FOR DEMONSTRATING CORTICAL AND MEDULLARY TUMORS

OLIVER COPE, M.D.; RICHARD SCHATZKI, M.D.

Arch Intern Med. 1939;64(6):1222-1238.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The most important element in the diagnosis of an endocrine disease is the demonstration of an anatomically abnormal gland. Recognition of disorders of the thyroid, for example, has been facilitated by the ease with which the gland can be palpated in the neck or visualized by the roentgen rays if it is in the mediastinum. The presence of a tumor of the adrenal gland may not be demonstrable by palpation, displacement of the kidney or roentgen visualization unless the growth is of considerable size. Any method offering greater precision in the recognition of an adrenal tumor early in its history warrants further study. Periadrenal insufflation of air at present yields the most promising diagnostic possibilities. Its technic forms the basis of this study.

There are three clinical syndromes associated with hyperfunctioning tumors of the adrenal cortex, namely, virilism, basophilism and (in the male) feminization. Recognition of these syndromes is easy . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the Departments of Surgery and Medicine of the Harvard Medical School and from the Surgical Services and X-Ray Department of the Massachusetts General Hospital.

Footnotes
This study has been made possible by a surgical assignment to one of us (O. C.), through the cooperation of Drs. E. D. Churchill, A. W. Allen and J. V. Meigs of the Surgical Staff of this hospital.

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