Robot-Assisted Laparoscopic Adrenalectomy for Rare Myxoid Adrenocortical Carcinoma
Joint Authors
Johnson, Grant S.
Nguyen, Thai T.
Thalody, Kiran
Kapur, Umesh
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Surgical resection remains the standard treatment for adrenocortical carcinoma.
Higher rates of local and peritoneal recurrence have been reported with the laparoscopic approach compared to open resection, although the evidence is limited.
A dilemma occurs when tumors appear benign in nature, measure >5 cm, or when patients request a minimally invasive surgical approach.
We describe the first reported case to date of successful robot-assisted laparoscopic adrenalectomy for myxoid variant adrenocortical carcinoma.
Case Presentation.
A 38 year old female presented with a large 8.0 cm enhancing left adrenal mass concerning for pheochromocytoma, given refractory hypertension and symptoms of palpitations and headaches.
Functional work up was negative.
The patient underwent robot-assisted laparoscopic left adrenalectomy after appropriate alpha and beta blockade.
Histological sections demonstrated a cortical neoplasm with prominent myxoid changes consistent with myxoid adrenocortical carcinoma.
The patient’s symptoms resolved and serial imaging demonstrated no recurrence three and nine months, post-operatively.
Conclusion.
Myxoid adrenocortical carcinoma is a rare and aggressive entity best managed with surgical resection.
Though open resection for invasive adrenal cancer remains the gold standard, minimally invasive approaches are being increasingly used, whether deliberately or not.
We describe the first reported robot-assisted laparoscopic adrenalectomy for invasive myxoid adrenocortical carcinoma.
American Psychological Association (APA)
Johnson, Grant S.& Thalody, Kiran& Kapur, Umesh& Nguyen, Thai T.. 2019. Robot-Assisted Laparoscopic Adrenalectomy for Rare Myxoid Adrenocortical Carcinoma. Case Reports in Urology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1145521
Modern Language Association (MLA)
Johnson, Grant S.…[et al.]. Robot-Assisted Laparoscopic Adrenalectomy for Rare Myxoid Adrenocortical Carcinoma. Case Reports in Urology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1145521
American Medical Association (AMA)
Johnson, Grant S.& Thalody, Kiran& Kapur, Umesh& Nguyen, Thai T.. Robot-Assisted Laparoscopic Adrenalectomy for Rare Myxoid Adrenocortical Carcinoma. Case Reports in Urology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1145521
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145521