[New issues in surgery of adrenal pheochromocytoma].
The adrenal pheochromocytoma still arouses great interest among the experts. The Authors give here a report of a study carried out on the personal case history of 32 patients and the concerning literature. A correct clinical and diagnostic approach is important to detect, at a preoperative level, the benign forms from the malignant ones (10-15% of cases according to literature) and the polyendocrine syndromes (21% of our series). Video-laparoscopy technique is recommended in pheochromocytomas surgery, mainly in asymptomatic and incidental forms and in all benign symptomatic forms less than 5 cm in size. At least, uni- or bilateral adrenalectomy associated with total thyroidectomy is also suggested in case of a polyendocrine syndrome.
Petrolo
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Divisione di Chirurgia Generale e Vascolare, Azienda Ospedaliera di Careggi, Firenze.
Borrelli
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Presenti
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Valeri
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Borrelli
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D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000315:Adrenalectomy; D000328:Adult; D000368:Aged; D018276:Carcinoma, Medullary / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D010535:Laparoscopy; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D018813:Multiple Endocrine Neoplasia Type 2a / Q000601:surgery; D018814:Multiple Endocrine Neoplasia Type 2b / Q000601:surgery; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy; D014741:Video Recording