Adrenal masses in children: Imaging, surgical treatment and outcome.
Adolescent
Adrenal Cortex Neoplasms
/ diagnostic imaging
Adrenal Gland Diseases
/ diagnostic imaging
Adrenal Gland Neoplasms
/ diagnostic imaging
Animals
Child
Child, Preschool
Female
Ganglioneuroblastoma
/ diagnostic imaging
Ganglioneuroma
/ diagnostic imaging
Hematoma
/ diagnostic imaging
Hemiptera
Humans
Infant
Male
Neuroblastoma
/ diagnostic imaging
Pheochromocytoma
/ diagnostic imaging
Retrospective Studies
Risk Factors
Adrenal cysts
Adrenal mass
Image defined risk factors
Neuroblastoma
Pheochromocytoma
Journal
Asian journal of surgery
ISSN: 0219-3108
Titre abrégé: Asian J Surg
Pays: Netherlands
ID NLM: 8900600
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
23
12
2018
revised:
06
02
2019
accepted:
11
03
2019
pubmed:
10
4
2019
medline:
25
9
2020
entrez:
10
4
2019
Statut:
ppublish
Résumé
This study aims to evaluate the current surgical approach to adrenal masses in the pediatric age group. We retrospectively analyzed cases that underwent surgery for adrenal masses between 2007 and 2017. Patients were assessed regarding age, sex, primary diagnosis, image defined risk factors (IDRF), surgical treatment method, complications, duration of hospital stay, and follow-up. We examined 50 patients who underwent surgery for adrenal mass (mean age: 4.8 years; range: 5 days-14 years). For IDRF assessment, Ultrasonography was used in 42, Computed Tomography in 36, and Magnetic Resonance Imaging in 36 patients. Lesions were present on the right in 25, left in 21, and bilateral in 4 patients. Histopathological findings were neuroblastoma (n = 29), ganglioneuroma (n = 6), adrenal cortex tumor (n = 5), ganglioneuroblastoma (n = 4), pheochromocytoma (n = 3), cyst (n = 1), and adrenal hematoma (n = 2). Laparotomy was performed on 37 patients, and laparoscopy on 13 patients. None of the cases had any operative complications. The crucial factors determining the surgical approach to adrenal masses in pediatric cases are the histopathology of the mass, volume, and IDRF. Minimally invasive procedures could be reliably performed in appropriate cases.
Sections du résumé
BACKGROUND/OBJECTIVE
OBJECTIVE
This study aims to evaluate the current surgical approach to adrenal masses in the pediatric age group.
METHODS
METHODS
We retrospectively analyzed cases that underwent surgery for adrenal masses between 2007 and 2017. Patients were assessed regarding age, sex, primary diagnosis, image defined risk factors (IDRF), surgical treatment method, complications, duration of hospital stay, and follow-up.
RESULTS
RESULTS
We examined 50 patients who underwent surgery for adrenal mass (mean age: 4.8 years; range: 5 days-14 years). For IDRF assessment, Ultrasonography was used in 42, Computed Tomography in 36, and Magnetic Resonance Imaging in 36 patients. Lesions were present on the right in 25, left in 21, and bilateral in 4 patients. Histopathological findings were neuroblastoma (n = 29), ganglioneuroma (n = 6), adrenal cortex tumor (n = 5), ganglioneuroblastoma (n = 4), pheochromocytoma (n = 3), cyst (n = 1), and adrenal hematoma (n = 2). Laparotomy was performed on 37 patients, and laparoscopy on 13 patients. None of the cases had any operative complications.
CONCLUSION
CONCLUSIONS
The crucial factors determining the surgical approach to adrenal masses in pediatric cases are the histopathology of the mass, volume, and IDRF. Minimally invasive procedures could be reliably performed in appropriate cases.
Identifiants
pubmed: 30962018
pii: S1015-9584(18)30907-2
doi: 10.1016/j.asjsur.2019.03.012
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
207-212Informations de copyright
Copyright © 2019. Published by Elsevier Taiwan LLC.