A twelve-year experience with adrenal cortical carcinoma in a single institution: long-term survival after surgical treatment and transcatheter arterial embolization.
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.
Soga
Hideo
H
Department of Organ Therapeutics, Division of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Takenaka
Atsushi
A
Ooba
Takeshi
T
Nakano
Yuzo
Y
Miyake
Hideaki
H
Takeda
Masashi
M
Tanaka
Kazushi
K
Hara
Isao
I
Fujisawa
Masato
M