[Therapeutic strategy in adrenal tumor]

The therapeutic strategy to be adopted when confronted with an adrenal tumor is schematically presented for the various situations which may occur: --pheochromocytomas, where the principal problems are the blood pressure and the localization and volume of the tumors(s); --Conn's syndrome, where a bilateral tumor should not be missed; --Cushing's syndrome, where bilateral total adrenalectomy via a posterior approach would seem to be the treatment of choice; --non secreting and secreting adrenal tumors, which usually pose the problem of volume and possibility of malignancy. The ideal surgical approach is discussed for each of the above cases.