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Title
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Asymptomatic adrenal tumours : criteria for endoscopic removal
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Author
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Abstract
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| Objective: Assessment of criteria for videoscopic removal of adrenal lesions discovered incidentally. Design: Open prospective study. Subjects: 63 patients operated on for 65 adrenal tumours. Outcome Measures: Relevance of proposed criteria: secreting adrenal lesion; diameter larger than 4 cm or increase in size at any re-evaluation; computed tomogram of intratumoral necrosis, haemorrhage, or irregular margins; high concentrations of dehydroepiandrosterone (DHEAS). Results: Laparoscopic adrenalectomy was successful in 61 patients (97%). There were 4 minor complications. Criteria allowed us to identify correctly : phaeochromocytoma (n = 23), primary hyperaldosteronism (n = 18), Cushing's adenoma or disease (n = 7), single metastasis (n = 4), adenoma with DHEAS or cortisol hypersecretion (n = 3). 8 non-secreting incidental tumours (13%) were operated on. Conclusion: Simple criteria for videoscopic adrenalectomy for lesions discovered incidentally allowed us to reduce the number of doubtful indications (positive predictive value 87%). |
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Language
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English
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Source (journal)
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The European journal of surgery. - Stockholm, 1991 - 2002
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Publication
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Stockholm
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1999
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ISSN
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1102-4151
[print]
1741-9271
[online]
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Volume/pages
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165
:8
(1999)
, p. 767-771
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ISI
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000082208900009
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Full text (publisher's version - intranet only)
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