RT Journal Article
SR Electronic
T1 Contemporary Review of Large Adrenal Tumors in a Tertiary Referral Center
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 2581
OP 2588
VO 34
IS 5
A1 DIANE MEGE
A1 DAVID TAIEB
A1 AOIFE LOWERY
A1 ANDERSON LOUNDOU
A1 CATHERINE DE MICCO
A1 FREDERIC CASTINETTI
A1 ISABELLE MORANGE
A1 JEAN-FRANÇOIS HENRY
A1 FREDERIC SEBAG
YR 2014
UL http://ar.iiarjournals.org/content/34/5/2581.abstract
AB Background: Large adrenal tumors (LATs, ≥6 cm) are uncommon and associated with malignancy in 25% of cases. Their surgical management remains debatable. The aim of the present report was to evaluate the current incidence, nature and management of LAT. Patients and Methods: We carried out a retrospective review of LATs managed in a tertiary referral center (2002-2011). Results: Eighty-one patients were included (out of a total of 750 with adrenal tumors, 11%). Nine patients had no surgical intervention (11%). Fifty-two LATs were malignant (64%): adrenocortical carcinoma (44%), metastasis (27%) and pheochromocytoma (21%). Patients with malignant tumors exhibited a poorer 5-year overall survival than those with benign tumors (53.4% versus 96.3%, p=0.001). Disease-related mortality was approximately 60%, 29% and 0% for those with metastasis, adrenal carcinoma and malignant pheochromocytoma, respectively. The recurrence rate was the same for the three malignant sub-groups (30%). Conclusion: LATs are rare and more frequently malignant than previously reported. Some are benign and do not require for surgical intervention. Surgical indication and approach should be tailored for each patient.