Adrenal tumors: An experience of 10 years in a single surgical unit.
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Date
2015-07
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Abstract
INTRODUCTION: Most of the adrenal masses are discovered incidentally by imaging techniques for reasons unrelated to adrenal diseases. Treatment
is based on various factors such as, nature of adrenal mass, age of presentation, size of tumor, and the functional status of tumor. We report a
series of 14 consecutive cases of adrenal tumors treated in a single surgical unit in our hospital. AIM: The aim of this study was to evaluate the
clinical profile and outcome of treatment of adrenal tumors treated in a surgical unit. MATERIALS AND METHODS: It is a retrospective study data of
14 cases of adrenal tumors treated in a single surgical unit in University Hospital over 10 years have been analyzed. Various parameters such as
gender, age, size of tumor, functional status, histopathology, type of management, and outcome have been reviewed. RESULTS: A total of 14 patients
with adrenal masses were seen over a 10 year period (1997‑2006). All were referred cases, either from endocrinology or medicine wards. There
were seven female and seven male patients. Mean age of patients was 48.6 years (range 14‑60 years). Mean size of tumor was 8.0 cm (5.9 cm
for benign tumors and 9.7 cm for malignant tumors). There were six cases of adrenal carcinoma, four cases of adrenal myelolipoma, two cases
of pheochromocytoma, and one each case of adrenal hyperplasia and histoplasmosis. There were only two functional tumors. All, except two
malignant cases were treated operatively. A total of 5 year survival was 100% in benign cases and 27% in malignant tumors. CONCLUSION: Adrenal
tumors need to be assessed for their functional status and malignant potential prior to treatment. Surgical excision is usually curative for benign
lesion. Among malignant tumors the benefits of surgery depend on local extent and metastatic status of tumors.
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Keywords
Adrenal, adrenalectomy, incidentalomas
Citation
Khanna S, Priya R, Bhartiya S K, Basu S, Shukla V K. Adrenal tumors: An experience of 10 years in a single surgical unit. Indian Journal of Cancer. 2015 July-Sept; 52(3): 475-478.