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. 1997 Sep;80(3):397-400.
doi: 10.1046/j.1464-410x.1997.00370.x.

Adrenal cortical carcinoma associated with venous tumour thrombus extension

A J Figueroa  1 , J P Stein, G Lieskovsky, D G Skinner
Affiliations

Adrenal cortical carcinoma associated with venous tumour thrombus extension

A J Figueroa et al. Br J Urol. 1997 Sep.

Abstract

Objective: To report the diagnosis and treatment of six patients with adrenocortical adenocarcinoma and venous tumour thrombus extension.

Patients and methods: All six patients (four female and two male, age range 14-83 years) were approached surgically through a thoracoabdominal incision and all underwent radical ablative surgery with removal of the primary tumour, regional retroperitoneal lymphadenectomy and en bloc extraction of the venous tumour thrombus.

Results: Five patients with right-sided tumours had vena caval tumour thrombus involvement and one patient with a left-sided tumour had extension of tumour thrombus into the splenic vein. All patients had appropriate radiographic evaluation pre-operatively and all underwent successful radical surgery with en bloc resection of the venous tumour thrombus.

Conclusion: For optimal management of this rare neoplasm, it is paramount that accurate diagnostic imaging be performed pre-operatively to help dictate the ideal surgical approach and to optimize successful treatment of this disease.

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