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Resection Versus Observation for Adrenal Gland Metastasis

  • Frédéric Mercier
  • Liane S. Feldman
  • Elliot J. Mitmaker
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

The adrenal glands are frequently the site of metastasis from several different types of cancers, including lung, breast, melanoma, renal cell, and colon. Traditionally, the finding of adrenal metastasis was believed to portend end-stage disease and consequently surgery was rarely performed. Since the introduction of laparoscopic adrenalectomy in 1992, resection for isolated adrenal metastases is being reported with increasing frequency, and several authors have even reported improved outcomes and survival in selected patients. Presently the evidence for this recommendation is based solely on published anecdotal reports and retrospective series. Hence prospective studies are desperately needed so that formal guidelines can be established in the decision-making process for patients with adrenal metastases.

Keywords

Adrenal metastases Oligometastases Stereotactic ablative body radiotherapy Adrenalectomy Laparoscopic adrenalectomy Radiofrequency ablation 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Frédéric Mercier
    • 1
  • Liane S. Feldman
    • 2
    • 3
  • Elliot J. Mitmaker
    • 4
  1. 1.Department of Surgical OncologyCentre Hospitalier de l’université de MontréalMontrealCanada
  2. 2.Department of SurgeryMcGill University Health CenterMontrealCanada
  3. 3.Steinberg-Bernstein Centre for Minimally Invasive Surgery and InnovationMcGill UniversityMontrealCanada
  4. 4.Department of SurgeryRoyal Victoria Hospital – Glen Site, McGill University Health CenterMontrealCanada

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