Diagnosis and minimally invasive treatment of adrenal tumors
10.3969/j.issn.1000-8179.2016.11.250
- VernacularTitle:肾上腺肿瘤的诊断及微创治疗
- Author:
Yushi ZHANG
- Publication Type:Journal Article
- Keywords:
adrenal tumor;
minimally invasive approach;
adrenal carcinoma;
adrenal adenoma;
pheochromocytoma
- From:
Chinese Journal of Clinical Oncology
2016;43(11):471-474
- CountryChina
- Language:Chinese
-
Abstract:
Minimally invasive approach has been the gold standard therapy for adrenal tumor since 1992. The improvements of endo-crine test and radiographic options that are used to evaluate adrenal lesion relevance ratio have promoted the diagnosis and treat-ment. Future research may focus on secondary hypertension screening, subclinical situation of functional adrenal tumor, and differen-tial diagnosis through imaging tests and other methods. Subclinical hypercortisolism and the relationship between incidentaloma and metabolism should be given particular importance. Laparoscopic adrenalectomy has become the gold standard approach for adrenal benign tumor treatment. The indication for usage of this approach has extended and included adrenal carcinoma (tumor size ranging within 6-10 cm) and pheochromocytoma larger than 6 cm. Partial adrenalectomy mainly depends on surgeon's experience. In addi-tion, the perioperative period of minimally invasive surgery need further research. This paper reviews related studies.
