Adrenolipoma surgery
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Adrenolipoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Adrenolipoma surgery On the Web |
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American Roentgen Ray Society Images of Adrenolipoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]
Overview
Surgery is the mainstay of treatment of large adrenolipomas.
Surgery
Surgery is the mainstay of treatment of large adrenolipomas.
- Management of adrenal myelolipoma is decided based upon the size of lesion and presence of symptoms.
- Small lesions measuring less than 5 cm, and those who are asymptomatic are usually monitored via imaging over a period of one to two years.
- Symptomatic tumors or myelolipomas larger than 7 cm should undergo elective surgical excision.
- The approach is based on the reported incidence of life-threatening emergencies caused by spontaneous rupture and hemorrhage within large lesions.
- Conventional or endoscopic access may be chosen according to the size of the tumor.
- Mini-invasive and endoscopic techniques are best utilized for smaller-sized lesions, depending on the expertise of the operator.
- Conventional methods including transabdominal, lumbar, subcostal or posterior access laparotomy operations have all been described in the literature.
- An extraperitoneal approach is preferable as it leads to quicker recovery of the patient and lesser postoperative complications.
- The midline approach is indicated for masses larger than 10 cm or in cases where there are adhesions and infiltration of the surrounding structures.
- Follow up is mandatory regardless of which surgical method has been employed.