Computed tomography after adrenalectomy in adrenal cortical carcinoma

This report deals with the follow-up diagnostic evaluation of 18 patients previously treated for adrenal cortical carcinoma. The role of computed tomography is emphasized. Nine patients had adrenalectomy and the other 9 had adrenalectomy and ipsilateral nephrectomy. The left kidney and adrenal were...

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Bibliographic Details
Published in:Urologic radiology 1985-01, Vol.7 (3), p.132-137
Main Author: SHIRKHODA, A
Format: Article
Language:English
Subjects:
Adrenal Cortex - diagnostic imaging
Adrenal Cortex Neoplasms - diagnostic imaging
Adrenal Cortex Neoplasms - surgery
Adrenalectomy
Adrenals. Adrenal axis. Renin-angiotensin system (diseases)
Adult
Biological and medical sciences
Endocrinopathies
Female
Humans
Lung Neoplasms - secondary
Male
Malignant tumors
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - diagnostic imaging
Postoperative Care
Tomography, X-Ray Computed
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Summary:This report deals with the follow-up diagnostic evaluation of 18 patients previously treated for adrenal cortical carcinoma. The role of computed tomography is emphasized. Nine patients had adrenalectomy and the other 9 had adrenalectomy and ipsilateral nephrectomy. The left kidney and adrenal were removed in 8 patients. The patients were evaluated for 2-59 months with an average follow-up of 16 months. Of the 13 patients (72%) who had recurrent or metastatic disease, 8 experienced local recurrence in the adrenal fossa, 2 of whom had associated renal involvement. The recurrence was seen in 5 patients in the left and in 3 patients in the right side. Metastases occurred in the lung (7 patients), liver (3 patients), peritoneum (2 patients), paraaortic lymph nodes (3 patients), and bone (1 patient). At the time of the discovery of recurrence or metastases, 5 patients presented with lung metastases found on chest x-rays, 3 had recurrent Cushing's syndrome or hypertension, 3 had abdominal pain, 1 had weight loss, and 1 was asymptomatic.
ISSN:0171-1091
DOI:10.1007/BF02926871