Adrenal cortical carcinoma associated with venous tumour thrombus extension

Objective  To report the diagnosis and treatment of six patients with adrenocortical adenocarcinoma and venous tumour thrombus extension. Patients and methods  All six patients (four female and two male, age range 14–83 years) were approached surgically through a thoracoabdominal incision and all un...

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Bibliographic Details
Published in:British Journal of Urology 1997-09, Vol.80 (3), p.397-400
Main Authors: FIGUEROA, A.J., STEIN, J.P., LIESKOVSKY, G., SKINNER, D.G.
Format: Article
Language:English
Subjects:
Adolescent
Adrenal Cortex Neoplasms - diagnosis
Adrenal Cortex Neoplasms - surgery
Adrenals. Adrenal axis. Renin-angiotensin system (diseases)
Adrenocortical adenocarcinoma
Adrenocortical Carcinoma - diagnosis
Adrenocortical Carcinoma - secondary
Adrenocortical Carcinoma - surgery
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Endocrinopathies
Female
Humans
imaging
Male
Malignant tumors
Medical sciences
Middle Aged
Neoplasm Invasiveness
Thrombosis - diagnosis
Thrombosis - surgery
tumour thrombus
Vena Cava, Inferior - surgery
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Summary:Objective  To report the diagnosis and treatment of six patients with adrenocortical adenocarcinoma and venous tumour thrombus extension. Patients and methods  All six patients (four female and two male, age range 14–83 years) were approached surgically through a thoracoabdominal incision and all underwent radical ablative surgery with removal of the primary tumour, regional retroperitoneal lymphadenectomy and en bloc extraction of the venous tumour thrombus. Results  Five patients with right‐sided tumours had vena caval tumour thrombus involvement and one patient with a left‐sided tumour had extension of tumour thrombus into the splenic vein. All patients had appropriate radiographic evaluation pre‐operatively and all underwent successful radical surgery with en bloc resection of the venous tumour thrombus. Conclusion  For optimal management of this rare neoplasm, it is paramount that accurate diagnostic imaging be performed pre‐operatively to help dictate the ideal surgical approach and to optimize successful treatment of this disease.
ISSN:0007-1331
1464-410X
DOI:10.1046/j.1464-410X.1997.00370.x