Inicio  /  Cancers  /  Vol: 16 Par: 4 (2024)  /  Artículo
ARTÍCULO
TITULO

Adrenalectomy for Metastasis: The Impact of Primary Histology on Survival Outcome

Mariaconsiglia Ferriero    
Andrea Iannuzzi    
Alfredo Maria Bove    
Gabriele Tuderti    
Umberto Anceschi    
Leonardo Misuraca    
Aldo Brassetti    
Riccardo Mastroianni    
Salvatore Guaglianone    
Costantino Leonardo    
Rocco Papalia    
Michele Gallucci and Giuseppe Simone    

Resumen

The adrenal gland is often the site of metastasis coming from different primary tumors, including lung, kidney, breast, gastrointestinal cancer and melanoma. Metastasis-directed therapy is not yet well standardized and a multidisciplinary assessment is relevant for planning adequate management. Minimally invasive adrenalectomy is the most common treatment option, and many reports are available in the literature, demonstrating its feasibility. Previous studies showed increased survival in selected patients treated who had an adrenalectomy for metastasis, but all these findings remained inconsistent due to heterogeneous baseline clinical conditions, primary histology and tumor staging. Therefore, further investigations are needed to define the ideal candidate for adrenal metastasectomy in case of oligometastatic diseases. In the present report, we present the oncological outcome of a minimally invasive adrenalectomy for isolated adrenal metastasis, and the impact of primary histology on cancer-specific survival probability.

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