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In these five years total 29 patients presented with adrenal tumour Of these, 13 had adrenocortical carcinoma.
The adrenal tumour was removed but the metastasis was deemed unresectable.
Prognostic factors in stage III-IV adrenocortical carcinomas (ACC): an European Network for the Study of Adrenal tumour (ENSAT) study.
[7] In our case, brain CT scan revealed senile cortical atrophic without any enlargement of the pituitary fossa which ruled out any pituitary tumour and diagnosis of adrenal tumour was confirmed by CECT abdomen.
High degree of accuracy in the evaluation of malignancy by microscopic examination of adrenal tumour has been achieved, helping in easy treatment, and follow up of the patient and also to present emerging evidence concerning the adrenocortical tumorigenesis in order to address the issue of an adenoma-carcinoma sequential progression as well as to further elucidate the incompletely understood pathophysiology of this aggressive neoplasm.
The adrenal tumour is usually high and has a medial extension, making its blind dissection an undesired option and may not allow real proper complete surgical removal.
However, intraoperative separation was very difficult; therefore, adrenal tumour resection, resection of the pancreatic body and tail, left nephrectomy and splenectomy were carried out.
The patient underwent laparoscopic unilateral adrenal tumour resection plus ipsilateral adrenalectomy.
Disease prevalence based on our findings is likely to be accurate as it is estimated from a large adrenal tumour data bank at one of the largest adrenal disease centres in China.[sup.14]-[sup.16] However, ethnic differences that may reflect the prevalence of ALT in other regions of the world fall outside the scope of this study.
Laparoscopic adrenalectomy has been a standard procedure since the early 1990s for most patients with surgical adrenal tumour.[sup.1] The conventional laparoscopic adrenalectomy (CLA) uses 3 or 4 ports, most commonly 1 12-mm and 2 or 3 5-mm ports.