Patient Question: Adrenal adenoma, hypertension, left ventricular hypertrophy, Description: Hypertension up to 165, left ventricular hypertrophy, onset of limb tenderness, gradually stiffness, unclear spoken language, please give me some treatment advice, whether the current condition requires surgery? Is the adrenal adenoma benign or malignant? The hospital department visited:*** Hospital Department of Urology Medication used:Instructions for taking:Betalac, Pinabentapine, Enalapril Tablets, Dansheng Tablets Reply: Hello, according to your medical history, examination results, the preliminary judgment is primary aldosteronism, confirm the diagnosis needs to do further examination, blood tests! If the diagnosis requires surgery, laparoscopy is preferred for minimally invasive surgery! Suggestion: Click here to refer to my article “Typical case 11 – laparoscopic resection of ectopic pheochromocytoma” Suggestion: Click here to refer to my article “How to treat adrenal tumor (primary aldosteronism)? Patient’s question: Hi Professor Ye, I read the special symptoms and treatment process you sent me, I think you are the most suitable doctor for me, what tests and preparations do I need to do before surgery? The first is the need to take blood tests to check blood hormone levels, such as blood renin-angiotensin-aldosterone, blood catecholamines, serum cortisol, electrolytes, etc. For some patients suspected of pheochromocytoma, the preoperative inter-iodobianguanidine (MIBG) test is also needed, which can help clarify Second, the adrenal glands secrete some important vasoactive hormones, and because of the fear of violent fluctuations in blood pressure during surgery, except for patients who are clearly not pheochromocytoma, they usually need to take a-blockers for two weeks before surgery to prevent violent fluctuations in blood pressure during surgery. Sometimes for patients with tumors larger than 5 cm, the duration of taking the medication needs to be longer so as to ensure the safety of the surgery.