Results of surrenal mass surgeries
A. Yılmaz, B. Badak
Eskisehir Osmangazi University General Surgery Department
Keywords: Adrenal mass; surrenalectomy; feocromositoma
Objective: Surrenal masses can sometimes be a functional or nonfunctional adenoma in benign characteristics, and sometimes be malignant and potential. For this purpose, we aimed to compare the pathology after surrenalectomy performed in our clinic.
Materials and methods: The results of adrenalectomy performed by General Surgery Clinic of ESOGU Hospital between December 2014 and August 2018 were compared. Age, gender, side information, surgical method and pathol ogy results were recorded.
Results: Sixtyfive patients, aged 23 to 73 years, were ret rospectively reviewed. Of 66 patients undergoing adrena lectomy, 2 were bilaterally (3.03%), 41 were left (62.12%), and 23 (34.84%) were right adrenalectomy. 45 of these cases, were female, 21 were male and 20 (30.3%) were open operation and 46 (69.69%) were laparoscopic opera tions. Postoperative histopathologic results included 17 adrenocortical adenomas (25%), 13 adrenocortical neo plasms (19,11%), 13 Feocromasitoma (19,11%), 6 benign cystic events (8,82%), 4 carcinoma metastases (5%, 88), 4 adrenocortical oncocytic carcinomas (5,88%), 3 lymphan giomas (4,41%), 3 adrenal hyperplasia (4,41%), 2 paragan gliomas (2,94%), 1 Feocromasitoma + ganglioneuroma (1%, 47), 1 neuroblastic tumor (1.47%) and 1 cavernous hemangioma (1.47%).
Conclusion: Histopathological results after surrenalec tomy are significant in terms of malignancy but also in terms of treatment plan.