Özet:

Introduction: Adrenocortical cancer (ACC) is a rare cancer. Surgical resection is the only known curative treatment for ACC. Recurrence rates of up to 70% have been reported after surgical treatment. Surgical margin positivity was defined as poor prognostic factor. Therefore, it is recommended that ACC surgery be performed by experienced surgeons in high-volume centers. The aim of our study is to share our surgical experience in this rare disease group. Methods: The data of 8 patients who underwent adrenalectomy for ACC between March 2016 and March 2021 in the General Surgery Clinic of Osmangazi University were retrospectively analyzed. Results: Five of the patients were female and 3 were male. Three (37.5%) of the ACCs were located in the right adrenal gland, and 5 (62.5%) were located in the left adrenal gland. Biochemical examinations revealed functional tumors in 5 patients. The mean age of our patients was 45 (25-72). Five (62.5%) of the patients were operated with open surgery method and 3 (37.5%) patients were operated with laparoscopic transabdominal approach. Invasion to the left kidney and spleen was observed in 2 patients diagnosed at locally advanced stage. These patients underwent en-bloc resections with nephrectomy and splenectomy in addition to adrenalectomy. No complications were observed in any of the patients in the perioperative and early postoperative period. Conclusion: ACC is a rare tumor. Experience is limited in most centres. The efficacy and results of surgical treatment in ACC can be better analyzed with multicenter and prospective studies.

Anahtar Kelimeler: