title: Multi-organ resection for locally advanced adrenocortical cancer: surgical strategy and literature review.
abstract: Adrenocortical carcinoma (ACC) is a rare and aggressive endocrine malignancy with an estimated worldwide incidence of 0.5-2 per million/year. Complete surgical removal of ACC represents the current treatment of choice for this tumor. A disease-free resection margin (R0) is an important predictor of long-term survival: surgery is demanding and must be performed by a highly experienced surgical team. We report the surgical strategy adopted in a patient with locally advanced ACC and virilization to obtain a R0 resection.
authors.forename: F
authors.initials: F
authors.lastname: Guida
authors.forename: M
authors.initials: M
authors.lastname: Clemente
authors.forename: L
authors.initials: L
authors.lastname: Valvano
authors.forename: C
authors.initials: C
authors.lastname: Napolitano
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000315:Adrenalectomy; D018268:Adrenocortical Carcinoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000368:Aged; D002445:Celiac Artery / Q000601:surgery; D005260:Female; D006801:Humans; D008642:Mesenteric Veins / Q000601:surgery; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D009392:Nephrectomy; D010179:Pancreas / Q000601:surgery; D011379:Prognosis; D013157:Splenic Artery / Q000601:surgery; D013162:Splenic Vein / Q000601:surgery; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery; D014656:Vascular Surgical Procedures; D014770:Virilism / Q000209:etiology