CONTEXT Adrenocortical virilizing tumors are rare in the pediatric age group. Laparoscopic surgery is the gold standard method for treatment of adrenal functional tumors under 6 cm in size, in adults. There has been very little use of laparoscopy in children and there is no report of its application in the treatment of adrenal carcinoma in childhood. DESIGN Case report. CASE REPORT We perfo...

Results Period I Twenty-nine patients were recorded. Mean operative time was 185.6 ± 37.2 min and 125.7 ± 37.7 min in the RLA and TLA subgroup (P < 0.005). Two procedures were converted in the TLA (splenic lesion and haemorrhage). The time of first oral intake was 1.25 ± 0.4 days after the RLA, and 2.76 ± 1.5 days after the TLA (P < 0.005). The mean hospital stay in the RLA subgroup was 3.8 ± 1...

INTRODUCTION Isolated adrenal metastases of invasive ductal breast carcinoma are extremely rare. We report a case with isolated left adrenal metastases, verified three years after diagnosed breast carcinoma. CASE OUTLINE A 58-year-old female patient with a right breast tumor, clinically staged as IIIA (T2N2M0) started neoadjuvant anthracycline chemotherapy after biopsy which revealed invasive...

OBJECTIVE To review the current role and outcome of laparoscopic adrenalectomy (LA) in the management of adrenal tumours. METHODS A Medline search using the keywords (adrenalectomy, laparoscopy, adrenal masses/tumours) was done for reports published between 1990 and 2011. Key articles were used to find more relevant references on the evaluation and laparoscopic management of adrenal masses. ...

OBJECTIVE Minimally invasive approaches to the management of renal tumors are being studied intensively in urology. Herein, we describe the use of multiple organ-sparing techniques for the management of tumors in a patient with von Hippel Lindau disease (VHL). MATERIALS AND METHODS A 42 year-old woman with VHL underwent a right partial adrenalectomy and a left renal radiofrequency ablation (R...

HYPOTHESIS Although laparoscopic posterior adrenalectomy (LPA) offers a more direct access to the adrenal gland, it is not as popular as laparoscopic transabdominal adrenalectomy, and the worldwide experience has been limited. We hypothesized that LPA is a safe and efficacious procedure that could best serve certain patients with adrenal tumors. DESIGN Case series of patients undergoing lapar...

INTRODUCTION Data on specific abdominal surgery and Cushing's syndrome are infrequent and are usually included in the adrenalectomy reports. Current literature suggests the feasibility and reproducibility of the surgical adrenalectomies for patients diagnosed with non-functioning tumours and functioning adrenal tumours including pheochromocytoma, Conn's syndrome and Cushing's syndrome. DISCUS...

The management of hereditary pheochromocytoma has drastically evolved in the last 20 years. Bilateral pheochromocytoma does not increase mortality in MEN2 or von Hippel-Lindau (VHL) mutation carriers who are followed regularly, but these mutations induce major morbidities if total bilateral adrenalectomy is performed. Cortical sparing adrenal surgery may be proposed to avoid definitive adrenal ...