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Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

SCImago Journal Rank (SJR) 2015: 0.214
Source Normalized Impact per Paper (SNIP) 2015: 0.336
Impact per Publication (IPP) 2015: 0.443

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Adrenal Tumors - Diagnostics and the Factual Situation

Ewa Krajewska1 / Sadegh Toutounchi1 / Patryk Fiszer1 / Witold Cieśla1 / Ryszard Pogorzelski1 / Tomasz Bednarczuk1 / Andrzej Cieszanowski1 / Izabela Łoń1 / Maciej Skórski1

Department of General and Thoracic Surgery, Warsaw Medical University1

Department of Internal Diseases and Endocrinology, Warsaw Medical University2

Division of Magnetic Resonance, Warsaw Medical University3

Department of Internal Diseases, Hypertension, and Angiology, Warsaw Medical University4

This content is open access.

Citation Information: Polish Journal of Surgery. Volume 84, Issue 4, Pages 208–213, ISSN (Print) 0032-373X, DOI: https://doi.org/10.2478/v10035-012-0034-z, June 2012

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Adrenal Tumors - Diagnostics and the Factual Situation

The study presented three cases of patients diagnosed with adrenal tumors subject to surgical intervention during the past 6 months in our Department. The patients presented with radiological diagnostic difficulties, as to the character and location of the primary tumor.

The aim of the study was to demonstrate differences between radiological examination results and the factual situation observed during the adrenalectomy. In all the presented cases patients' were subject to laparoscopic intervention. In two cases conversion to open surgery was necessary. The histopathological results of the surgically removed samples were as follows: leiomyoma, myoperycytoma and pheochromocytoma. In selected cases imaging examinations might be of limited value, especially when determining the character and location of the primary lesion of the adrenal gland.

Keywords: laparoscopic adrenalectomy; adrenalectomy; adrenal tumor; computer tomography; magnetic resonance; retroperitoneal space tumor; laparoscopic surgery

  • Allolio B, Fassnacht M, Arlt W: Maligne Tumoren der Nebennierenrinde. Internist 2002; 43: 186-95.

  • Engelbrecht V: Radiologische Diagnostik der Nebennieren. Abdominale und gastrointestinale Radiologie 2005; 58: 229-40.

  • Cieszanowski A, Rożniatowska-Sadkowska B, Pacho R i wsp.: Tomografia komputerowa guzów nadnerczy: różnicowanie na podstawie wartości współczynnika pochłaniania promieni X. Pol Przegl Radiol 2000; 65: 283-88.

  • Pena CS, Boland GW, Hahn PF et al.: Characterization of indeterminante (lipid-poor) adrenal masses: use of washout characteristic AT contrastenhanced CT. Radiology 2000; 217: 798-802.

  • Korobkin M, Francis IR: Adrenal imaging. Sem US CT MRI 1995; 16: 317-30.

  • Cieszanowski A, Januszewicz A: Diagnostyka obrazowa guzów nadnerczy. In: Nadciśnienie tętnicze, MP, Kraków 2007; 583-93.

  • Boland GW, Lee MJ, Gazele GS et al.: Charakterization of adrenal masses using unenhanced CT: an analysis of the CT literature. In J Roentgenol 1996; 171: 201-04.

  • Otto M, Dzwonkowski J, Jędrasik M i wsp.: Trudności kwalifikacyjne i operacyjne adrenalektomii laparoskopowej. Pol Przegl Chir 2010; 82: 64-78.

  • Blake MA: Low-density pheochromocytoma on CT: A mimicker of adrenal adenoma. In J Roentgenol 2003; 181: 1663-68.

  • Van DeWeyer KH: Radiologische Diagnostik hormonaktiver Tumoren. Langebeck's Arch of Surg 2005; 239: 437-51.

  • Szolar DH, Koronkin M, Reittner P et al.: Adrenocortical carcinoma and adrenal pheochromocytomas: mas and enhancement loss AT delayed contrrast enhanced CT. Radiology 2005; 234: 479-85.

  • Stajgis M, Stajgis M, Guzikowska-Ruszkowska A et al.: CT diagnostic imaging of adrenal adenomas. Pol J Radiol 2005; 70: 62-68.

  • Korobkin M: CT characterization of adrenal masses: The time has come. Radiology 2002; 217: 629-32.

  • Caoli EM, Korobkin M, Francis IR et al.: Adrenal masses: characterization with combined unenhanced and delayed enhanced CT. Radiology 2002; 222: 629-33.

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