title: A twelve-year experience with adrenal cortical carcinoma in a single institution: long-term survival after surgical treatment and transcatheter arterial embolization.
abstract: BACKGROUND
  We retrospectively analyzed 6 cases of adrenal cortical carcinoma (ACC) treated during a 12-year period at a single institution.
  
  
  METHODS
  We reviewed the clinical and pathological records and updated the follow-up of the patients treated and observed in our institution between 1995 and 2006.
  
  
  RESULTS
  All 6 patients underwent surgery for ACC. The mean age at diagnosis was 53.3 years (range 36-72). The median follow-up was 50.7 months (range 13-132). Three patients were clinically classified as stage II, 2 as stage III and 1 as stage IV with bone metastasis. The 5-year overall survival was 62.5%. Recurrences or metastases occurred in 4 patients. Two patients without reoperation for metastases died, and others with radical treatments such as surgery, chemotherapy, transcatheter arterial embolization and/or radiation remain alive.
  
  
  CONCLUSIONS
  In our experience, transcatheter arterial embolization was effective against liver metastasis.
authors.affiliation: Department of Organ Therapeutics, Division of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Soga
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takenaka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ooba
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Nakano
authors.forename: Hideaki
authors.initials: H
authors.lastname: Miyake
authors.forename: Masashi
authors.initials: M
authors.lastname: Takeda
authors.forename: Kazushi
authors.initials: K
authors.lastname: Tanaka
authors.forename: Isao
authors.initials: I
authors.lastname: Hara
authors.forename: Masato
authors.initials: M
authors.lastname: Fujisawa