[Multiple, bilateral aldosteroma]

In 15% of patients with Conn's syndrome the tumor may be bilateral. The topical diagnosis of a bilateral lesion is very complicated. These difficulties depend, as a rule, on the difference in the size of the tumor. Under such conditions the discovery of a larger tumor of one of the adrenals allows a pathological condition to be ruled out on the other side. From their personal experience the authors show the difficulty of the diagnosis of bilateral aldosteromas and offer an appraisal of the scintigraphic method of examination in a bilateral lesion. It is suggested that in bilateral adrenal tumours the accumulation of the radio pharmacological agent in the tumours is in inverse proportion to the term of tumour development, which is confirmed by the result of scanning conducted in dynamics in one patient.