Adrenal metastases – long-term results of surgical treatment, single-centre experience
| Autor: | Lucyna Papierska, Tomasz Ostrowski, Radosław Samsel, Andrzej Cichocki, Edyta Karpeta, Agnieszka Koalasińska-Ćwikła, K. Roszkowska-Purska, Karolina M. Nowak |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adrenal metastases
medicine.medical_specialty Colorectal cancer medicine.medical_treatment lcsh:Medicine 030230 surgery 03 medical and health sciences adrenal mass 0302 clinical medicine Renal cell carcinoma median overall survival medicine Radiology Nuclear Medicine and imaging Surgical treatment Original Paper business.industry Adrenal gland Adrenalectomy lcsh:R Cancer adrenalectomy medicine.disease Surgery medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Metastasectomy business adrenal metastases |
| Zdroj: | Contemporary Oncology, Vol 24, Iss 1, Pp 29-33 (2020) Contemporary Oncology |
| ISSN: | 1897-4309 1428-2526 |
| Popis: | Introduction The adrenal gland is a frequent site of metastases in different types of cancer. The aim of this study was to assess the results of metastatic adrenalectomy in a single institution and to identify factors for survival. Material and methods A retrospective, single-centre analysis of outcomes of 39 patients (22 male, 17 female) with adrenal metastases who underwent surgery within 14 years (2004-2017) was performed. The median age at the time of adrenal surgery was 64.8 years (range 49-79 years). Results In our study group non-small cell lung cancer (NSCLC) was the most frequent primary tumour type (15 pts), followed by renal cell carcinoma (RCC) (14 pts) and colon cancer (6 pts). Most of the metastases - 36 (92%) - were metachronous (> 6 months). All synchronous metastases were NSCLC. The mean time from primary cancer to adrenalectomy was 42.3 months (range 1-176) and was statistically longer for RCC. In 3 patients (8%) metastases were bilateral and both adrenal glands were removed. In all patients, surgery was limited to the adrenal gland, and no major complications of surgery were observed. The median overall survival after metastasectomy was 18 months (3-81) and was statistically longer for colon cancer - 29.5 months (p = 0.012). In patients who died, tumours were significantly bigger than in survivors, 76.5 mm vs. 52.5 mm (p = 0.026). Conclusions Surgery for adrenal metastasis is safe and indications for this procedure should be individualized. In selected patients, surgical removal of adrenal metastasis was associated with longer survival. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|