کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6251536 1611981 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Original researchCystic adrenal lesions: Clinical and surgical management. The experience of a referral centre
ترجمه فارسی عنوان
تحقیق اصلی: ضایعات غده فوق کلیوی: مدیریت بالینی و جراحی. تجربه مرکز ارجاع
کلمات کلیدی
کیستهای آدرنال، تومورهای آدرنال، آدنالکتومی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی


- Management and surgical treatment of adrenal cysts.
- Focusing on the importance of extensive clinical evaluation as a diagnostic tool.
- Guide for the correct indication and timing of surgical resection.

Background: Cystic adrenal lesions (CALs) represent a rare entity having heterogeneity in etiology and clinical manifestations. Due to their very low incidence and heterogeneity in clinical aspects, many controversials still exist about their management. Methods: From 1984 to 2012, 21 patients (7 M, 14 F, mean age 48.2 years) underwent adrenalectomy for CALs. 9 patients suffered from hypertension, and 7 were affected by thyroid disorders. Results: 4 patients presented with vague abdominal pain, while in 17 patients the CAL was incidentally identified during imaging examinations. All patients underwent evaluation of adrenal functionality and imaging study. We found 1 case of cystic pheochromocytoma (confirmed by urinary and blood sampling, and MIBG-scan). All patients underwent adrenalectomy (open approach in the first 10 patients treated from 1984 to 1996, laparoscopic lateral transabdominal approach in the other 11 cases). Indication to surgery included: size over 4.5 cm in 16 cases, suspected malignancy at imaging evaluation (not confirmed by histology) in 4 cases, cystic pheochromocytoma in 1 case. Histology revealed 11 endothelial cysts, 3 pseudocysts, 6 epithelial cysts and 1 cystic pheochromocytoma. Conclusions:The presence of CAL, even asymptomatic, requires complete endocrinological evaluation and imaging study. In the presence of large size, endocrine activity or any suspicion of malignancy, patients must be referred to surgery.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 13, January 2015, Pages 23-26
نویسندگان
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