Surgery of the adrenal metastases.
| Autor: | Kälviäinen-Mejía HK; Hospital Universitario Miguel Servet, Zaragoza, España., Sancho-Pardo P; Hospital Universitario Miguel Servet, Zaragoza, España., Miguelena-Bobadilla JM; Hospital Universitario Miguel Servet, Zaragoza, España., Casamayor-Franco MC; Hospital Universitario Miguel Servet, Zaragoza, España., Dobón-Rascón MA; Hospital Universitario Miguel Servet, Zaragoza, España. |
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| Jazyk: | angličtina |
| Zdroj: | Cirugia y cirujanos [Cir Cir] 2021; Vol. 89 (6), pp. 728-732. |
| DOI: | 10.24875/CIRU.20000932 |
| Abstrakt: | Background: Adrenal metastases are the most common malignant lesions of the adrenal glands and the second most common tumor after adenomas. The location of the primary tumor is described: lung (39%), breast (35%), gastrointestinal tract, among other. Several studies show that surgery improves survival in selected cases. Method: Retrospective and single-center observational study of patients operated for adrenal metastasis over a period of 11 years. The characteristics of the disease and surgical results were described. Results: 14 suprarenalectomies were performed. The average age was 65.85 years. The primary tumors described: non-small cell lung carcinoma (42.8%) and clear cell renal carcinoma (14.20%). In 92.8% the injury was unilateral. In 64.2% it was metachronous. An initial laparoscopic approach was performed in 85.71%. The morbidity of our series was 14.28%. The median overall survival was 30 months. Survival was 75% per year, 55.5% at 3 years and 40% at 5 years. Conclusions: Age, primary location, degree of differentiation, histological type, size greater, laterality, disease-free interval, chemotherapy and surgical technique are not associated with changes in survival. In the presence of a single adrenal mass, surgical evaluation is mandatory and surgery could play a role in patients with metastases in other locations with control of the primary disease. |
| Databáze: | MEDLINE |
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