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https://www.readbyqxmd.com/read/30229419/evaluation-staging-and-surgical-management-for-adrenocortical-carcinoma-an-update-from-the-sso-endocrine-and-head-and-neck-disease-site-working-group
#1
Paxton V Dickson, Lawrence Kim, Tina W F Yen, Anthony Yang, Elizabeth G Grubbs, Dhavel Patel, Carmen C Solórzano
This is the first of a two-part review on adrenocortical carcinoma (ACC), a rare and aggressive malignancy that often presents at an advanced stage. Most patients present with symptoms related to cortisol and/or androgen excess. Appropriate biochemical evaluation and imaging is important in assessing the extent of disease, operative planning, and oncologic surveillance for patients with ACC. For patients with locoregional disease, potential cure requires margin-negative resection, and accumulating evidence suggests that regional lymphadenectomy should be performed...
September 18, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/30217968/laparoscopic-trans-abdominal-right-adrenalectomy-for-a-large-primitive-adrenal-oncocytic-carcinoma-a-case-report-and-review-of-literature
#2
Valerio Panizzo, Barbara Rubino, Guglielmo Niccolò Piozzi, Paolo Ubiali, Anna Morandi, Marco Nencioni, Giancarlo Micheletto
BACKGROUND Adrenocortical oncocytic neoplasms (AONs) are extremely rare tumors. AONs are classified as: oncocytoma (AO), oncocytic neoplasm of uncertain malignant potential (AONUMP), and oncocytic carcinoma (AOC). Among the 162 reported cases of AONs in the literature, 30 cases were classified as malignant. Adrenalectomy is the treatment of choice for AON. CASE REPORT We report the case of a 48-year-old man with a primitive 12-cm mass affecting the right adrenal gland, detected by ultrasonography during follow-up for alcoholic liver cirrhosis...
September 15, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/30214733/primary-adrenal-teratoma-a-case-series-and-review-of-the-literature
#3
Liang Zhou, Xiang Pan, Tao He, Yulin Lai, Wenhua Li, Yiming Hu, Liangchao Ni, Shangqi Yang, Yun Chen, Yongqing Lai
Primary adrenal teratoma is a rare type of cancer. Of the 338 patients who underwent adrenalectomy during this study, only 2 (aged 69 and 29 years) were diagnosed with adrenal teratoma and underwent laparoscopic retroperitoneal adrenalectomy. For the purposes of the present study, the term 'adrenal teratoma' was searched in the PubMed database, and 237 articles published between June 1952 and March 2017 were retrieved. However, we were only able to identify 10 relevant studies. In total, these studies reported a series of 18 cases of primary adrenal teratoma in patients aged >16 years, another 8 cases of adult adrenal retroperitoneal teratoma, and 7 cases of adrenal teratoma in children aged <16 years...
October 2018: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/30196068/comparative-efficacy-of-laparoscopic-versus-robotic-adrenalectomy-for-adrenal-malignancy
#4
Kirtishri Mishra, Matthew J Maurice, Laura Bukavina, Robert Abouassaly
OBJECTIVES: To evaluate whether the technical advantages of robotic-assisted surgery over standard laparoscopy, which are well established for complex renal surgery, lead to variable surgical outcomes between laparoscopic adrenalectomy (LA) and robotic adrenalectomy (RA). METHODS: Using the National Cancer Database, we identified patients who underwent LA or RA for non-metastatic primary adrenal malignancy from 2010-2013. Primary outcomes were need for open conversion, surgical margin status, and performance of regional lymphadenectomy...
September 6, 2018: Urology
https://www.readbyqxmd.com/read/30154882/perioperative-complications-of-adrenalectomy-12-years-of-experience-from-a-single-center-teaching-hospital-and-literature-review
#5
Michał Aporowicz, Paweł Domosławski, Piotr Czopnik, Krzysztof Sutkowski, Krzysztof Kaliszewski
Introduction: The perioperative complication rate of adrenalectomy varies between 1.7% and 30.7% in the medical literature. This study presents outcomes of adrenalectomy in our center and tries to point out risk factors for perioperative problems. Material and methods: We retrospectively analyzed all patients who underwent adrenalectomy in our department from January 2004 to June 2015. Patient's sex, indication for procedure, tumor laterality, surgical approach and surgeon's case volume were taken into consideration as possible risk factors for complications...
August 2018: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/30140462/the-age-of-robotic-surgery-is-laparoscopy-dead
#6
REVIEW
Hartwig Schwaibold, Felix Wiesend, Christian Bach
Introduction: Robot-assisted laparoscopic surgery (RALS) has become a widely used technology in urology. Urological procedures that are now being routinely performed robotically are: radical prostatectomy (RP), radical cystectomy (RC), renal procedures - mainly partial nephrectomy (PN), and pyeloplasty, as well as ureteric re-implantation and adrenalectomy. Methods: This non-systematic review of the literature examines the effectiveness of RALS compared with conventional laparoscopic surgery for the most relevant urological procedures...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30134455/-minimal-invasive-surgery-of-adrenal-tumors
#7
REVIEW
Volker Fendrich, Mathias Knecht
Minimal invasive surgical methods are gold standard at the resection of adrenal tumors. Special medical care units provide laparoscopical and retroperitoneoscopical techniques. This review gives an overview about indication of minimal invasive adrenalectomy, technical implementation, perioperative management and generic surgery-associated complications.
August 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/30133339/robot-assisted-endocrine-surgery-indications-and-drawbacks
#8
Brian C Ruhle, Ava Ferguson Bryan, Raymon H Grogan
BACKGROUND: Over the last few decades, robotic surgery with the da Vinci system has become increasingly prevalent. Endocrine surgeons are witnessing a rapid growth in enthusiasm for robotic approaches for treating thyroid, parathyroid, and adrenal disease. For carefully selected patients, the robotic system may be the preferred technique, although its use remains controversial and indications are in evolution. The goal of this article is to review current robotic procedures for thyroidectomy, parathyroidectomy, and adrenalectomy, and scrutinize the existing literature for application of these approaches...
August 22, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30120761/primary-hyperaldosteronism-induced-by-aldosterone-producing-adenoma-co-existing-with-a-left-suprarenal-accessory-spleen-two-case-reports-and-a-review-of-the-literature
#9
Wen-Zhi Li, Xiang Wan, Long Li, Bin Xu, Zhong Wang
We encountered 2 patients (a 33-year-old woman and a 66-year-old man) with an aldosterone-producing adenoma (APA) and a left accessory spleen. The patients' primary symptoms were hypertension and hypokalemia, and both had elevated serum aldosterone levels. Preoperative computed tomography a left suprarenal retroperitoneal mass and laparoscopic left adrenalectomy was performed in both cases. The postoperative microscopic examination revealed splenic tissue. Both patients experienced relief of their hypertension and hypokalemia, with an uneventful recovery...
August 16, 2018: Urology Journal
https://www.readbyqxmd.com/read/30107625/perioperative-management-of-endocrine-active-adrenal-tumors
#10
Florentine Schreiner, Gurpreet Anand, Felix Beuschlein
Endocrine active adrenal tumors are associated with a relevant risk of complications during surgery, either due to direct hemodynamic effects of the hormone excess or due to hormone related comorbidities. Over the last decades, careful preoperative evaluation and improved peri-interventional medical management of affected patients has resulted in a significant reduction of perioperative complications. In addition, improvement in anesthesia and surgical techniques with the feasibility of laparoscopic adrenalectomy have contributed to reduce morbidity...
August 14, 2018: Experimental and Clinical Endocrinology & Diabetes
https://www.readbyqxmd.com/read/30105106/successful-management-of-pheochromocytoma-detected-in-pregnancy-by-interval-adrenalectomy-in-a-vhl-patient
#11
V T S Kaluarachchi, Uditha Bulugahapitiya, Maulee Arambewela, Sonali Gunathilake
A 34-year-old mother with diabetes mellitus for 6 years presented in the late second trimester of her third pregnancy with new onset hypertension and characteristic hyperadrenergic spells. Clinical examination was unremarkable except a blood pressure of 170/110 mmhg. She had an elevated 24 hour urinary normetanephrine level with ultrasonic evidence of a hyperechoic hypervascular well-defined right supra renal mass of 6 x 5 cm in size which was very suggestive of a pheochromocytoma. Her management decisions were made by a multidisciplinary team which decided to deliver the baby by lower segment cesarean section (LSCS) as the pregnancy was advanced and to proceed with interval adrenalectomy after contrast enhanced computer tomography (CECT) of the abdomen with adrenal protocol...
2018: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/30103807/multiple-myeloma-concealed-by-adrenal-cushing-syndrome-a-case-report-and-review-of-the-literature
#12
Taweesak Wannachalee, Nuttagarn Jantanapornchai, Kittima Suphadirekkul, Sirinart Sirinvaravong, Weerapat Owattanapanich
BACKGROUND: Cushing syndrome coexisting with multiple myeloma has been previously described in a few reports. Overlapping clinical manifestations can lead to misdiagnoses. CASE PRESENTATION: We presented an extremely rare case of a 33-year-old Thai woman with concomitant kappa light chain myeloma with adrenal Cushing syndrome, both of which were related to skeletal manifestations. A precedence report indicated that treatment of the Cushing syndrome could exacerbate the myeloma symptoms...
August 13, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/30097166/risk-factors-for-30-day-readmission-after-adrenalectomy
#13
Anna C Beck, Paolo Goffredo, Imran Hassan, Sonia L Sugg, Geeta Lal, James R Howe, Ronald J Weigel
BACKGROUND: Readmissions represent a substantial burden to the health care system. Risk factors for 30-day readmission after adrenalectomy were examined. METHODS: Patients who underwent adrenalectomy were selected from the American College of Surgeons National Surgical Quality Improvement Program database from 2011 to 2015. RESULTS: Among 4,221 patients who underwent adrenalectomy, 216 (5.1%) were readmitted. On multivariate analysis, pre-operative predictive factors associated with readmission were American Society of Anesthesiologists classification (odds ratio [OR] 1...
August 7, 2018: Surgery
https://www.readbyqxmd.com/read/30090938/laparoscopic-transabdominal-adrenalectomy-a-procedure-that-has-stood-the-test-of-time
#14
Masha J Livhits, Michael W Yeh
No abstract text is available yet for this article.
August 8, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/30090934/risk-factors-associated-with-perioperative-complications-and-prolonged-length-of-stay-after-laparoscopic-adrenalectomy
#15
Yufei Chen, Anouk Scholten, Kathryn Chomsky-Higgins, Iheoma Nwaogu, Jessica E Gosnell, Carolyn Seib, Wen T Shen, Insoo Suh, Quan-Yang Duh
Importance: Laparoscopic adrenalectomy is the gold standard for most adrenal disorders and its frequency in the United States is increasing. While national and administrative databases can adjust for patient factors, comorbidities, and institutional variations, granular disease-specific data that may significantly influence the incidence of perioperative complications and length of stay (LOS) are lacking. Objective: To investigate factors associated with perioperative complications and LOS after laparoscopic adrenalectomy...
August 8, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/30089991/complications-of-411-laparoscopic-urological-procedures-a-single-surgeon-experience
#16
Khalid Al-Otaibi
Objectives: The aim of this study is to review the complications of laparoscopic urological procedures performed using a single surgeon during a 12-year period. Materials and Methods: From June 2004 to May 2017, a total of 411 abdominal urological procedures were performed using the author. They included 250 varicocele ligations, 94 nephrectomies (simple, partial, radical, and nephroureterectomy), 34 adrenalectomies, 22 renal cyst ablation, and 11 pelvic lymph node dissections...
July 2018: Urology Annals
https://www.readbyqxmd.com/read/30064165/-laparoscopic-partial-adrenalectomy-for-primary-aldosteronism-combined-with-cushing-s-syndrome-report-of-a-case
#17
ChulJang Kim, Shigehisa Kubota, Kayo Fukuyama, Yasushi Omura, Eiki Hanada, Akihiro Kawauchi
A 65-year-old man was referred to our hospital with a chief complaint of hyperglycemia. Computed tomography showed left clear-bordered adrenal mass. The serum aldosterone/renin ratio was elevated, and the low-dose dexamethasone suppression test revealed no suppression of serum cortisol. Adrenal venous samplingdemonstrated excess secretion of cortisol from the left adrenal gland, and excess secretion of aldosterone from bilateral adrenal glands. Laparoscopic left partial adrenalectomy for primary aldosteronism combined with Cushing's syndrome was performed...
June 2018: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/30061126/florid-hyperandrogenism-due-to-a-benign-adrenocortical-adenoma
#18
Melanie LaVoie, Vasilis Constantinides, Noel Robin, Angelos Kyriacou
A 26-year-old woman with a history of polycystic ovarian syndrome presented with secondary amenorrhea, worsening hirsutism, acne, deepening of voice and unexplained 10-20 kg weight gain. Her Ferriman-Gallway hirsutism score was 12 with cystic facial acne and increased masculine phenotype. Urine Beta-Human Chorionic Gonadotropins (bHCG) was negative. She had elevated serum testosterone of 551 ng/dL, androstenedione at 7.46 ng/mL and dehydroepiandrosterone sulfate (DHEAS) at 4243 µg/L. Overnight dexamethasone suppression test showed mildly unsuppressed cortisol (2...
July 30, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/30052223/the-unexpected-diagnosis-of-phaeochromocytoma-in-the-anaesthetic-room
#19
Louise Kenny, Victoria Rizzo, Jason Trevis, Elena Assimakopoulou, Dierdre Timon
A 77-year-old man was admitted for aortic valve replacement and combined coronary bypass grafting. Grossly, labile arterial pressures were demonstrated on anesthetic induction prompting cancellation and Intensive Care Unit transfer. Urine analysis identified high normetadrenaline/creatinine ratio, plasma metanephrine, and plasma normetanephrine. A left adrenal lesion on computed tomography scan collectively indicated pheochromocytoma. Laparoscopic adrenalectomy was prioritized at multidisciplinary team before cardiac surgery...
July 2018: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/30007262/adrenergic-cardiomyopathy-and-cardiogenic-shock-as-initial-presentation-of-pheochromocytoma-a-case-report-and-review-of-the-literature
#20
Esther Gil-Barrionuevo, José Maria Balibrea, Enric Caubet, Oscar Gonzalez, Ramón Vilallonga, José Manuel Fort, Andrea Ciudin, Manel Armengol
INTRODUCTION: Pheochromocytomas are infrequent tumors arised from the chromaphine cells of the adrenal sympathetic system. The excess of circulating catecholamines may lead to different cardiovascular disorders from silent alterations of the myocardial conduction to different forms of cardiomyopathy. The onset as cardiogenic shock is exceptional. PRESENTATION OF CASE: A 35-year-old male, with a known history of acute myopericarditis of unknown origin which debuted as acute pulmonary edema, was admitted with dyspnea in the context of a new heart failure episode with pulmonary edema...
2018: International Journal of Surgery Case Reports
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