Abstract

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.