[The role and problems of the surgical approach in adrenal incidentalomas].
The authors report a series of 5 incidentalomas: 4 nonfunctioning adrenocortical adenomas and 1 nonfunctioning pheochromocytoma. They emphasise the importance of US, CT, MRN, and scintigraphy in differential diagnosis compared to laboratory tests. In addition, they affirm that a correct oncological approach necessarily involves radical surgery and rule out the possibility of adopting a "wait and see" policy based on relative factors such as tumour size, function and the patient's age. The authors suggest using a posterior or anterior access route depending on the nature and size of the incidentaloma and recommend reserving the lateral incision for special cases.
Bruzzese
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Cattedra di Chirurgia d'Urgenza, Università degli Studi G. D'Annunzio, Chieti.
Stella
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S
D000236:Adenoma / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000601:surgery*; D000315:Adrenalectomy; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000175:diagnosis / Q000601:surgery*; D009626:Terminology as Topic
Ruolo e problematiche dell'approccio chirurgico agli incidentalomi del surrene.