Adrenal Metastasectomy


Pearls

Pitfalls

All patients should be discussed in a multidisciplinary team (MDT) meeting

Be sure that the imaging is contemporaneous as some adrenal metastases have a rapid doubling time (esp melanoma)

Distinguish between synchronous and metachronous disease

“Symptomatic” metastases are more likely to be associated with local invasion

Be prepared to undertake extensive laparoscopic adhesiolysis if the primary tumor was intraperitoneal

Resist becoming the “technician” for unfamiliar cancer MDTs to your practice – always discuss cases with the relevant oncologist

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Feb 26, 2017 | Posted by in ENDOCRINOLOGY | Comments Off on Adrenal Metastasectomy

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