[The diagnostic and therapeutic strategies in neoplasms of the adrenal cortex: the authors' own experience].
The Authors report their limited series of neoplasms of the adrenal cortex, and underline the decisive role of the modern diagnostics based on imaging techniques (US--TC--NMR). These, in fact, often allow a good definition also in the non-functioning adrenal masses incidentally discovered (incidentalomas). The authors emphasize the high quality of such diagnostic methods offering a good reliability in discriminating the nature of the adrenal mass. These undeniable diagnostic advantages have a positive impact on the surgical strategy, allowing together with a careful morphological study of the lesion, to program in detail possible demolitive operations. The authors finally underline the importance of the surgical access: they are persuaded the best is the bilateral under-rib incision. This surgical approach assures a complete exploration of the abdominal and pelvic cavity; moreover, it allows to face every complication.
Giordano
G
G
Istituto Policattedra di Chirurgia d'Urgenza e Chirurgia Plastica, Università degli Studi di Bari.
Angelelli
G
G
Losacco
T
T
Mustacchio
N
N
Macarini
L
L
Grimaldi
F
F
Cannone
G
G
Colelli
P
P
Spada
I S
IS
D000236:Adenoma / Q000175:diagnosis* / Q000601:surgery; D000302:Adrenal Cortex / Q000000981:diagnostic imaging / Q000473:pathology; D000306:Adrenal Cortex Neoplasms / Q000175:diagnosis* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008067:Lipoma / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Strategia diagnostica e terapeutica nelle neoplasie della corteccia surrenalica: contributo d'esperienza.