Adrenal Tumors with Venous Thrombosis: A Single-Institution Experience
| Autor: | Mohsen El-Mekresh, Abdul-Monem Gomha, Ibrahim Eraky, Yasser Osman, Ahmed Haraz, Mohamed Abou El-Ghar |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Urology medicine.medical_treatment Adrenal Gland Neoplasms Vena Cava Inferior Pheochromocytoma medicine Humans Adrenocortical carcinoma Postoperative Period Neoplasm Metastasis Child Retrospective Studies Venous Thrombosis business.industry Renal vein thrombosis Middle Aged Prognosis medicine.disease Thrombosis Nephrectomy Surgery Venous thrombosis Treatment Outcome Child Preschool Sarcoma Radiology Renal vein Tomography X-Ray Computed business |
| Zdroj: | Urologia Internationalis. 87:182-185 |
| ISSN: | 1423-0399 0042-1138 |
| DOI: | 10.1159/000326942 |
| Popis: | Objective: To assess the incidence, imaging, surgical approach and prognosis of adrenal tumors associated with venous thrombosis. Material and Methods: Charts of 206 patients who underwent adrenal surgery were reviewed. Data of patients with pathologically confirmed venous thrombosis, utilized diagnostic modalities, operative treatment and prognosis were reviewed and analyzed. Results: Venous thrombosis was confirmed pathologically in 6 patients (2.9%). All were of male gender with age ranging between 2 and 54 years. The mean size of the masses was 11.5 ± 5.2 cm. Venous thrombosis was diagnosed preoperatively in 2 patients, adrenal vein thrombosis in 1 patient, and renal vein thrombosis in the others. Masses were successfully excised via an open approach in association with nephrectomy in 3 cases. There was no operative mortality or gross morbidity. Pathologically, thrombosis was limited to the adrenal vein in 4 patients and extended to the renal vein in 2. Pathology of the masses revealed neuroblastoma in 2, pheochromocytoma in 2, adrenocortical carcinoma in 1, and pleomorphic sarcoma in 1 case. Metastasis developed within 6 months in 3 of these patients. Conclusion: Venous thrombosis with adrenal tumors is a rare pathological condition in which open surgery is the standard of care. Primary malignant adrenal masses with venous thrombosis have a poor prognostic outcome. |
| Databáze: | OpenAIRE |
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