Laparoscopic resection of an adrenal oncocytic neoplasm: Report of a case and review of the literature.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_B14FF8461A75
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Laparoscopic resection of an adrenal oncocytic neoplasm: Report of a case and review of the literature.
Journal
International journal of surgery case reports
Author(s)
St-Amour P., Djafarrian R., Zingg T., La Rosa S., Demartines N., Matter M.
ISSN
2210-2612 (Print)
ISSN-L
2210-2612
Publication state
Published
Issued date
29/09/2020
Peer-reviewed
Oui
Volume
76
Pages
305-309
Language
english
Notes
Publication types: Case Reports
Publication Status: aheadofprint
Abstract
Oncocytic adrenal neoplasms are rare and mostly benign lesions. Available literature supports indication for a surgical resection, but criteria to predict aggressive behavior are unreliable, thus making decision of surgical approach (laparotomy versus laparoscopy), and extent of resection, difficult to define.
This is the case of a 46-year-old male, with an incidental finding of a 10 cm asymptomatic tumor in the left adrenal gland identified by MRI, performed in the setting of the initial assessment of liver steatosis. Adrenal hormone levels were in the normal range, thus, a CT-guided needle biopsy was performed and showed an adrenocortical oncocytic neoplasm. A laparoscopic left adrenalectomy was performed sparing the adjacent left kidney. Histological examination of the resected tumor showed a 10 cm oncocytic adrenocortical neoplasm of uncertain malignant potential with negative resection margins. A follow-up MRI was scheduled at six months after surgery, and no recurrence was found.
Although rare, oncocytic neoplasms should be included in the differential diagnosis of adrenal "incidentalomas". Determination of their malignant potential is difficult in the preoperatory setting. Final diagnosis is based on histological analysis of the whole surgical specimen. Laparoscopic complete excision with negative resection margins is feasible and safe.
Keywords
Adrenal oncocytic neoplasm, Adrenalectomy, Endocrine surgery
Pubmed
Open Access
Yes
Create date
20/10/2020 12:42
Last modification date
07/11/2020 6:20
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