| Surgical management of adrenal metastases. | |
| | |
MedLine Citation:
|
PMID: 22205385 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: This paper aims to review controversies in the management of adrenal gland metastasis and to reach an evidence-based consensus. MATERIALS AND METHODS: A review of English-language studies addressing the management of adrenal metastasis, including indications for surgery, diagnostic imaging, fine-needle aspiration, surgical approach, and outcome was carried out. Results were discussed at the 2011 Workshop of the European Society of Endocrine Surgeons devoted to adrenal malignancies and a consensus statement agreed. RESULTS: Patients should be managed by a multidisciplinary team. Positron emission tomography coupled with computed tomography (PET/CT) scanning is the technique of choice for suspected adrenal metastasis. When PET/CT is not available or results are inconclusive, the CT scan or magnetic resonance imaging can be used. Patients should undergo complete hormonal evaluation. Adrenal biopsy should be reserved for cases in which the results of non-invasive techniques are equivocal. If malignancy has been reliably ruled out, patients with adrenal incidentalomas should be managed like noncancer patients. CONCLUSIONS: A patient with suspected adrenal metastasis should be considered a candidate for adrenalectomy when: (a) control of extra-adrenal disease can be accomplished, (b) metastasis is isolated to the adrenal gland(s), (c) adrenal imaging is highly suggestive of metastasis or the patient has a biopsy-proven adrenal malignancy, (d) metastasis is confined to the adrenal gland as assessed by a recent imaging study, and (e) the patient's performance status warrants an aggressive approach. In properly selected patients, laparoscopic (or retroperitoneoscopic) adrenalectomy is a feasible and safe option. |
| | |
Authors:
|
Juan J Sancho; Frédéric Triponez; Xavier Montet; Antonio Sitges-Serra |
Related Documents
:
|
1613355 - Angiosarcoma of the nasal cavity. 22014905 - Chiropractic management of work-related upper limb disorder complicated by intraosseous... 20349185 - 18f-fdg pet/ct for monitoring induction chemotherapy in patients with primary inoperabl... 8943915 - Unusual tumours of the skull and skull base: a pictorial essay. 12414295 - Magnetization transfer measurements of brain structures in patients with multiple syste... 11819055 - Ct-based virtual tracheobronchoscopy in children--comparison with axial ct and multipla... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-12-16 |
Journal Detail:
|
Title: Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie Volume: - ISSN: 1435-2451 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-12-29 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9808285 Medline TA: Langenbecks Arch Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Endocrine Surgery Unit, Department of General Surgery, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain, jjsancho@gmail.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Complications associated with arthroscopic rotator cuff repair: a literature review.
Next Document: Testing the semi-explicit assembly solvation model in the SAMPL3 community blind test.