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Adrenal tumour bigger than 5 cm — what could it be? An analysis of 139 cases


- Department of Surgery Clinic of Oncology Memorial M. Sklodowska-Curie Cancer Institute, Warsaw, Poland
open access
Abstract
Introduction: There is an increasing number of adrenal being tumours discovered incidentally during imaging examinations performed for many different indications. Radiological findings suggesting adrenal pathology may be caused by true adrenal tumours or by other retroperitoneal masses. Generally, the larger the tumour, the higher the possibility of adrenal cancer.
Material and methods: Analysis of our data — 139 operations performed over 11 years (2004–2014) in patients with tumours in the adrenal area larger than 5 cm.
Results: The most common finding was adrenal cancer (25.2%), benign adenoma (24.5%), pheochromocytoma (12.9%), and metastatic cancer (10.1%). In total, there were 19 various histopathological diagnoses in this group.
Conclusion: Although adrenal cancer is the most likely diagnosis in large adrenal tumours, a broad spectrum of various adrenal and retroperitoneal tumours with size more than 5 cm can be found in such patients.
Abstract
Introduction: There is an increasing number of adrenal being tumours discovered incidentally during imaging examinations performed for many different indications. Radiological findings suggesting adrenal pathology may be caused by true adrenal tumours or by other retroperitoneal masses. Generally, the larger the tumour, the higher the possibility of adrenal cancer.
Material and methods: Analysis of our data — 139 operations performed over 11 years (2004–2014) in patients with tumours in the adrenal area larger than 5 cm.
Results: The most common finding was adrenal cancer (25.2%), benign adenoma (24.5%), pheochromocytoma (12.9%), and metastatic cancer (10.1%). In total, there were 19 various histopathological diagnoses in this group.
Conclusion: Although adrenal cancer is the most likely diagnosis in large adrenal tumours, a broad spectrum of various adrenal and retroperitoneal tumours with size more than 5 cm can be found in such patients.
Keywords
adrenal tumor, big adrenal mass, adrenal surgery


Title
Adrenal tumour bigger than 5 cm — what could it be? An analysis of 139 cases
Journal
Issue
Article type
Original paper
Pages
411-415
Published online
2017-06-07
Page views
1899
Article views/downloads
1553
DOI
10.5603/EP.a2017.0039
Pubmed
Bibliographic record
Endokrynol Pol 2017;68(4):411-415.
Keywords
adrenal tumor
big adrenal mass
adrenal surgery
Authors
Andrzej Cichocki
Radosław Samsel
Lucyna Papierska
Katarzyna Roszkowska-Purska
Karolina Nowak
Zbigniew Jodkiewicz
Anna Kasperlik-Załuska


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