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Endocrine tumours and their significance to anaesthesia
Institution:1. Department of General Medicine, The Ayr Hospital, NHS Ayrshire & Arran, Dalmellington Road, Scotland, United Kingdom;2. Department of Endocrinology, Institute of Post Graduate Medical Education & Research, Kolkata;3. e-Data Research & Innovation Service, Information Services Division (ISD), NHS National Services Scotland, Edinburgh, Scotland.;1. Center for Adrenal Disorders, Division of Endocrinology, Diabetes, and Hypertension, Brigham and Women''s Hospital, Boston, Massachusetts;2. Division of Endocrinology and Endocrine Neoplasia Program of the Neag Comprehensive Cancer Center, University of Connecticut Health Center, Farmington, Connecticut;3. Departments of Pharmacology & Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.;1. Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy;2. Department of Surgery, Unit of General Surgery and Oncology, Andrea Tortora Hospital, Pagani, Italy;3. Department of Advanced Biomedical Sciences, Division of Cardiology, Federico II University, Naples, Italy;4. Unit of Cell and Molecular Biology in Cardiovascular Diseases, Centro Cardiologico Monzino, IRCCS, Milan, Italy;1. From the Department of Endocrinology and Metabolism, Adrenal Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China;2. Department of Endocrinology and Metabolism, Hospital of Chengdu Office of People’s Government of Tibetan Autonomous Region (West China Hospital, Chengban Branch, Sichuan University), Chengdu, China;3. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu, China;4. Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China;5. Department of Urology, West China Hospital, Sichuan University, Chengdu, China;6. Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Abstract:Hormonally active tumours of the endocrine system are uncommon conditions, but they present a considerable anaesthetic challenge. The relative rarity of these tumours has meant that there are few, if any, comparative, controlled trials of one anaesthetic technique against another. Most of the management regimes advocated are based on anecdotal experience, and even though such experience may be considerable, it is difficult to establish one form of anaesthetic management as superior to another. This paper will review currently recommended approaches to the management of secreting endocrine tumours.
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