Academic Journal
Adrenal cavernous hemangioma: which correct decision making process?
| العنوان: | Adrenal cavernous hemangioma: which correct decision making process? |
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| المؤلفون: | AGRUSA, Antonino, ROMANO, Giorgio, DOMINGUEZ RODRIGUEZ, Ligia Juliana, Amato, G, CITARRELLA, Roberto, VERNUCCIO, Laura, DI BUONO, Giuseppe, SORCE, Vincenzo, Gulotta, L, GALIA, Massimo, MANSUETO, Pasquale, GULOTTA, Gaspare |
| المساهمون: | Agrusa, A, Romano, G, Dominguez Rodriguez, LJ, Amato, G, Citarrella, R, Vernuccio, L, Di Buono, G, Sorce, V, Gulotta, L, Galia, M, Mansueto, P, Gulotta, G |
| بيانات النشر: | IT |
| سنة النشر: | 2016 |
| المجموعة: | IRIS Università degli Studi di Palermo |
| مصطلحات موضوعية: | Adrenal cavernous hemangioma, laparoscopic adrenalectomy, laparoscopy, lapartoscopic surgery, adrenal surgery, Settore MED/09 - Medicina Interna, Settore MED/18 - Chirurgia Generale, Settore MED/13 - Endocrinologia |
| الوصف: | Introduction: Cavernous hemangioma of the adrenal gland is a rare benign tumor characterized by the presence of blood-fil- led, dilated vascular spaces. These adrenal masses are usually non-functioning and the patients have no symptoms so the diagnosis is incidental. Methods: We performed a systematic literature review for all articles published until April 2015. The initial search identified 98 publications. We considered some characteristics: the mean age of the patients at diagnosis was 59 years (range 19 - 84); there were approximately 1.7 times more female patients than male patients; mean diameter of the lesions was 10.3 cm (range 2 - 25). Surgical treatment was more often open with midline or subcostal incision. Results: From literature analysis we know that small adrenal hemangiomas are usually asymptomatic. Only four patients in our literature review show endocrinologic disturbances with three cases of subclinical Cushing’s syndrome and a case of hyperaldo- steronism. The pre-operative radiologic features play a fundamental role for correct surgical approach. On enhanced Computed Tomography (CT) scan adrenal hemangiomas tend to be heterogeneous, hypodense lesions with high-density rim of tissue at the periphery. On Magnetic Resonance Imaging (MRI) common findings associated with adrenal hemangiomas are hypointense inhomo- geneous masses with central hyperintensity on T1 images and a high intensity peripheral rim on T2 images due to hemorrhage or necrosis. Conclusion: Laparoscopic adrenalectomy is considered the standard treatment in case of benign lesions. Some authors sugge- st that the main limitation during laparoscopic dissection for large and potentially malign adrenal tumors is incomplete resection and capsular disruption with increased risk of local recurrence and intra-abdominal neoplastic dissemination. We recommend for these patients an integrated multidisciplinary approach that considers endocrine studies, preoperative radiologic findings and the expe- rience of surgical team. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/wos/WOS:000375338000018; volume:32; issue:2; firstpage:385; lastpage:389; numberofpages:5; journal:ACTA MEDICA MEDITERRANEA; http://hdl.handle.net/10447/177822 |
| DOI: | 10.19193/0393-6384_2016_2_58 |
| الاتاحة: | http://hdl.handle.net/10447/177822 https://doi.org/10.19193/0393-6384_2016_2_58 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.EAD8AFD0 |
| قاعدة البيانات: | BASE |
| DOI: | 10.19193/0393-6384_2016_2_58 |
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