title: Thoracoscopic transdiaphragmatic adrenalectomy for isolated locally recurrent adrenal carcinoma.
abstract: A 58-year-old man who had undergone left adrenalectomy 2 years previously for adrenocortical carcinoma was diagnosed to have a left suprarenal solid mass. Thoracoscopic transdiaphragmatic excision of the tumor was conducted under the diagnosis of isolated local recurrence of adrenal carcinoma. There were no intraoperative or postoperative complications. The patient subsequently received three courses of adjuvant chemotherapy. There have been no signs of tumor recurrence during 3 years follow up after surgery. This approach provides a minimally invasive alternative to an open thoracoabdominal procedure after prior open surgery.
authors.affiliation: Department of Urology, Kitasato University School of Medicine, Sagamihara, Japan. kazumasa@cd5.so-net.ne.jp
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Shin
authors.initials: S
authors.lastname: Egawa
authors.forename: Takefumi
authors.initials: T
authors.lastname: Satoh
authors.forename: Norihiko
authors.initials: N
authors.lastname: Okuno
authors.forename: Shizuka
authors.initials: S
authors.lastname: Kaseda
authors.forename: Shiro
authors.initials: S
authors.lastname: Baba
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D018268:Adrenocortical Carcinoma / Q000601:surgery*; D003964:Diaphragm; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods