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KMID : 0365719930090010046
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Journal of Pusan Surgical Society
1993 Volume.9 No. 1 p.46 ~ p.52
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A clinical report of Two cases of Nonfunctioning Adrenal Gland Tumors
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이익용
조세헌/최홍조/김영훈/정갑중/김상순
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Abstract
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Adrenal gland tumors are rare. Solid adrenal lesions of more than 5 or 6 cm should be considered malignant until proved benign by exploration and adrenalectomy. The incidence of adrenocortical carcinomas is estimated as two per millon population
per
year. Fifty percent of malignant adrenocortical patients have nonfunctional tumors. Patients with nonfunctioning tumors may have no definable symptoms until the tumor is large enough to cause local pressure symptoms or is readily palpable.
The indications for surgery in nonfunctioning gland tumors are a diameter greater than 6 cm, growth of the smaller tumors during a period of observations, or questions of functional status. In addition, the use of pharmacologic agent to counter
the
deleterious effects of hormonal excess, preoperatively, has made formerly hazardous procedures safe and almost routine today.
The authors experienced two cases of nonfunctioning adrenal gland tumors, one was cortical carcinoma, the other, cortical adenoma. As transabdominal approach, the mass was excised enblock. Postoperative complications had not occurred. Prognosis
may
be
excellent in cortical adenoma, but periodic follow up should be required for cortical carcinoma.
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