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[Adrenal tumors in children]
T Zamfir1, G Răducanu, O C Iacob
1Spitalul Clinic Grigore Alexandrescu, Bucureşti.
Chirurgia (Bucharest, Romania : 1990)
|November 1, 1996
Summary
This study reviewed 11 pediatric adrenal tumors, including cortical and medullar types, treated surgically between 1988-1995. Surgical adrenalectomy via transverse incision was the primary treatment for these diverse pediatric adrenal neoplasms.
Area of Science:
- Pediatric Endocrinology
- Surgical Oncology
- Pediatric Surgery
Background:
- Adrenal tumors in children are rare and diverse, encompassing both cortical and medullar origins.
- Early diagnosis and appropriate surgical intervention are crucial for managing pediatric adrenal neoplasms.
- This study focuses on a cohort of pediatric patients treated over an eight-year period.
Observation:
- Eleven children aged 2-14 years with adrenal tumors were analyzed.
- Tumor types included adrenal cortical tumors (2 adenomas, 5 carcinomas) and medullar tumors (3 pheochromocytomas, 1 sympathoblastoma).
- Clinical presentations varied, with Cushing syndrome, adreno-genital syndrome, and paroxysmal tachycardia/hypertension observed.
Findings:
- Surgical adrenalectomy using a transverse subcostal (Bazy) incision was performed for all patients.
- The study highlights the range of pediatric adrenal tumors and their clinical manifestations.
- Successful surgical management was achieved for various adrenal tumor types in this pediatric cohort.
Implications:
- Surgical adrenalectomy is an effective treatment for pediatric adrenal tumors.
- Understanding the spectrum of pediatric adrenal tumors aids in diagnosis and management strategies.
- This case series contributes to the literature on surgical outcomes for pediatric adrenal neoplasms.