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Adrenal masses in children: Imaging, surgical treatment and outcome

Şenol Emre1, Rahşan Özcan1, Ayten Ceren Bakır1

  • 1Department of Pediatric Surgery, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Turkey.

Asian Journal of Surgery
|April 10, 2019
PubMed

Insights

Pediatric adrenal mass surgery depends on mass type and risk factors. Minimally invasive approaches are feasible for select pediatric adrenal masses, improving surgical outcomes.

Area of Science:

  • Pediatric Surgery
  • Pediatric Oncology
  • Endocrine Surgery

Background:

  • Adrenal masses in children require careful surgical consideration.
  • Evaluating current surgical practices for pediatric adrenal masses is essential.

Purpose of the Study:

  • To evaluate the surgical approach for pediatric adrenal masses.
  • To identify factors influencing surgical decisions in pediatric adrenal masses.

Main Methods:

  • Retrospective analysis of 50 pediatric patients undergoing adrenal mass surgery (2007-2017).
  • Assessment of patient demographics, diagnosis, image-defined risk factors (IDRF), surgical method, and outcomes.
  • Review of imaging modalities including Ultrasonography, Computed Tomography, and Magnetic Resonance Imaging for IDRF.

Main Results:

  • Neuroblastoma was the most common diagnosis (n=29).
  • Laparotomy was performed in 37 patients, and laparoscopy in 13.
  • No operative complications were reported in any cases.

Conclusions:

  • Histopathology, volume, and image-defined risk factors (IDRF) are key determinants for surgical approach in pediatric adrenal masses.
  • Minimally invasive surgery is a viable option for selected pediatric adrenal masses.
Abstract

Keywords:
Adrenal cystsAdrenal massImage defined risk factorsNeuroblastomaPheochromocytoma

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