Journal
ANNALES D ENDOCRINOLOGIE
Volume 80, Issue 5-6, Pages 308-313Publisher
MASSON EDITEUR
DOI: 10.1016/j.ando.2019.09.001
Keywords
Adrenalectomy; Adrenocortical carcinoma; Laparoscopy; Laparotomy; Prognosis
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Compared to benign adrenal lesions, secreting or otherwise, malignant adrenocortical carcinoma is rare. Overall prognosis is poor, with <50% 5-year survival. Various prognostic factors have been identified, some tumor-related and others directly linked to surgical treatment. Surgery is the only possible curative treatment, and is decided upon in a multidisciplinary medical-surgical team meeting. Surgical approach (laparotomy vs. laparoscopy) remains a matter of debate. In the light of a recent literature search, the present review reassesses the prognostic criteria of surgical resection, the quality of which determines overall and recurrence-free survival. (C) 2019 Elsevier Masson SAS. All rights reserved.
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