title: [Voluminous malignant nonsecreting tumors of the adrenal cortex ruptured in thoracic-lumbar injuries].
abstract: Based on two cases of nonsecreting malignant adrenal tumors the authors make some clinical and therapeutical considerations. These tumors are rare, have a longer evolution without significant clinical manifestations, may reach considerable size and may become complicated, most frequently by intratumoral hemorrhages and necroses, which usually favour an infection, and more rarely by their rupture. The diagnosis is based on the clinical and laboratory findings. The treatment is surgical, associated with chemotherapy and radiotherapy. The survival interval is long, sometimes exceeding 10 years.
authors.forename: A
authors.initials: A
authors.lastname: Ionescu
authors.forename: C
authors.initials: C
authors.lastname: Dăscălescu
authors.forename: A
authors.initials: A
authors.lastname: Jakab
authors.forename: A
authors.initials: A
authors.lastname: Ota
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D004630:Emergencies; D005260:Female; D006470:Hemorrhage / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D012421:Rupture; D013898:Thoracic Injuries / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000473:pathology / Q000601:surgery
vernacular_title: Tumori maligne nesecretante voluminoase de corticosuprarenală rupte prin traumatism toraco-lombar.