Surgical management of metastatic disease to the adrenal gland.
Publication/Presentation Date
4-1-2008
Abstract
Metastatic disease to the adrenal glands can occur in a wide array of malignancies. With the increased use of abdominal imaging, these lesions are diagnosed with more frequency. Diagnostic and laboratory evaluation is essential for the differentiation of benign lesions from primary malignant adrenal tumors or extra-adrenal metastasis. Computed tomography (CT) and magnetic resonance imaging (MRI) characteristics, as well as the adjunctive use of immunocytochemical techniques on biopsy specimens, can allow accurate identification of metastatic lesions. Surgical management of metastatic lesions is appropriate in selected patients, primarily when representing the solitary site of metastatic disease. The surgical approach, while debatable, can de done either through open surgery or laparoscopically. Either approach appears comparable in terms of oncologic efficacy in the carefully selected patient, although laparoscopic adrenalectomy is associated with decreased pain and improved convalescence. The surgeon's skill in laparoscopic technique, appropriate patient selection, and the ability to adhere to oncologic principles, including complete excision without tumor spillage, are of utmost importance when deciding the appropriate surgical intervention.
Volume
35
Issue
2
First Page
172
Last Page
176
ISSN
0093-7754
Published In/Presented At
Gittens, P. R., Jr, Solish, A. F., & Trabulsi, E. J. (2008). Surgical management of metastatic disease to the adrenal gland. Seminars in oncology, 35(2), 172–176. https://doi.org/10.1053/j.seminoncol.2007.12.006
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
18396202
Department(s)
Administration and Leadership
Document Type
Article