Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English]
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/4539 |
Resumo: | Aims: To discuss the diagnostic and therapeutic options in a rare case of ganglioneuroma as cause of adrenal incidentaloma. Case description: A 45-year old male presented with a diagnosis of adrenal incidentaloma during routine clinical evaluation. The lesion measured 7.5 cm on ultrasound, and computerized tomography findings were non-characteristic. A transperitoneal laparoscopic adrenalectomy was performed in 63 minutes of surgery time, through four ports (12, 11, and two of 5 mm). The specimen was removed through an augmentation of the 12 mm port until roughly 3.5 cm, inside an endocatch bag. Intraoperative bleeding was less than 50 ml. Pathological examination revealed an adrenal ganglioneuroma. Postoperative course was uneventful, and the patient was discharged home 72 hours after the procedure. Conclusions: In the literature reviewed, the diagnostic and therapeutic approaches of adrenal incidentalomas are controversial. Our report points out to the possibility of ganglioneuroma as a cause of adrenal incidentalomas, especially among young patients. Its surgical removal generally results in cure, and the laparoscopic approach is currently the preferred option. |
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Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English]Abordagem laparoscópica de incidentaloma de adrenal: um caso raro de ganglioneuromaTUMORES DE ADRENALGANGLIONEUROMALAPAROSCOPIAINCIDENTALOMA.Aims: To discuss the diagnostic and therapeutic options in a rare case of ganglioneuroma as cause of adrenal incidentaloma. Case description: A 45-year old male presented with a diagnosis of adrenal incidentaloma during routine clinical evaluation. The lesion measured 7.5 cm on ultrasound, and computerized tomography findings were non-characteristic. A transperitoneal laparoscopic adrenalectomy was performed in 63 minutes of surgery time, through four ports (12, 11, and two of 5 mm). The specimen was removed through an augmentation of the 12 mm port until roughly 3.5 cm, inside an endocatch bag. Intraoperative bleeding was less than 50 ml. Pathological examination revealed an adrenal ganglioneuroma. Postoperative course was uneventful, and the patient was discharged home 72 hours after the procedure. Conclusions: In the literature reviewed, the diagnostic and therapeutic approaches of adrenal incidentalomas are controversial. Our report points out to the possibility of ganglioneuroma as a cause of adrenal incidentalomas, especially among young patients. Its surgical removal generally results in cure, and the laparoscopic approach is currently the preferred option.Objetivo: discutir a abordagem e o manejo laparoscópico de um raro caso de ganglioneuroma de adrenal em incidentaloma. Descrição do caso: um paciente masculino de 45 anos teve diagnóstico de incidentaloma de adrenal com 7,5 cm à ultrassonografia e padrão tomográfico incaracterístico. A suprarrenalectomia laparoscópica transperitoneal durou 63 minutos e utilizou quatro portais (um de 12, um de 11 e dois de 5 mm) para a abordagem da glândula, a qual foi removida por uma ampliação do portal de 12 mm até cerca de 3,5 cm, em saco coletor. O sangramento computado foi inferior a 50 ml. O exame anatomopatológico revelou tratar-se de ganglioneuroma. Houve excelente evolução pós-operatória, com alta hospitalar 72 horas apos o procedimento. Conclusões: a propedêutica dos incidentalomas de adrenal é motivo de controvérsias na literatura. Este relato busca chamar a atenção para a possibilidade do ganglioneuroma como causa de incidentaloma de adrenal, principalmente em pacientes jovens. A remoção cirúrgica desse tumor normalmente resulta em cura clínica e a abordagem laparoscópica é a opção preferencial.Editora da PUCRS - ediPUCRS2009-05-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de caso raro ou de especial interesseapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/4539Scientia Medica; Vol. 19 No. 2 (2009); 75-80Scientia Medica; v. 19 n. 2 (2009); 75-801980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/4539/3918https://revistaseletronicas.pucrs.br/scientiamedica/article/view/4539/7811Martins, Manoela BeatrizSantos, Nicele Porto dosGreco, CelinaMainardi, Patrícia BassoDanzman, Luiz CláudioSilva, Vinícius Duval daCarvalhal, Gustavo Francoinfo:eu-repo/semantics/openAccess2013-07-17T13:09:47Zoai:ojs.revistaseletronicas.pucrs.br:article/4539Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-17T13:09:47Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English] Abordagem laparoscópica de incidentaloma de adrenal: um caso raro de ganglioneuroma |
title |
Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English] |
spellingShingle |
Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English] Martins, Manoela Beatriz TUMORES DE ADRENAL GANGLIONEUROMA LAPAROSCOPIA INCIDENTALOMA. |
title_short |
Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English] |
title_full |
Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English] |
title_fullStr |
Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English] |
title_full_unstemmed |
Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English] |
title_sort |
Laparoscopic approach of adrenal incidentaloma: a rare case of ganglioneuroma [Abstract in English] |
author |
Martins, Manoela Beatriz |
author_facet |
Martins, Manoela Beatriz Santos, Nicele Porto dos Greco, Celina Mainardi, Patrícia Basso Danzman, Luiz Cláudio Silva, Vinícius Duval da Carvalhal, Gustavo Franco |
author_role |
author |
author2 |
Santos, Nicele Porto dos Greco, Celina Mainardi, Patrícia Basso Danzman, Luiz Cláudio Silva, Vinícius Duval da Carvalhal, Gustavo Franco |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Martins, Manoela Beatriz Santos, Nicele Porto dos Greco, Celina Mainardi, Patrícia Basso Danzman, Luiz Cláudio Silva, Vinícius Duval da Carvalhal, Gustavo Franco |
dc.subject.por.fl_str_mv |
TUMORES DE ADRENAL GANGLIONEUROMA LAPAROSCOPIA INCIDENTALOMA. |
topic |
TUMORES DE ADRENAL GANGLIONEUROMA LAPAROSCOPIA INCIDENTALOMA. |
description |
Aims: To discuss the diagnostic and therapeutic options in a rare case of ganglioneuroma as cause of adrenal incidentaloma. Case description: A 45-year old male presented with a diagnosis of adrenal incidentaloma during routine clinical evaluation. The lesion measured 7.5 cm on ultrasound, and computerized tomography findings were non-characteristic. A transperitoneal laparoscopic adrenalectomy was performed in 63 minutes of surgery time, through four ports (12, 11, and two of 5 mm). The specimen was removed through an augmentation of the 12 mm port until roughly 3.5 cm, inside an endocatch bag. Intraoperative bleeding was less than 50 ml. Pathological examination revealed an adrenal ganglioneuroma. Postoperative course was uneventful, and the patient was discharged home 72 hours after the procedure. Conclusions: In the literature reviewed, the diagnostic and therapeutic approaches of adrenal incidentalomas are controversial. Our report points out to the possibility of ganglioneuroma as a cause of adrenal incidentalomas, especially among young patients. Its surgical removal generally results in cure, and the laparoscopic approach is currently the preferred option. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-05-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Relato de caso raro ou de especial interesse |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/4539 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/4539 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/4539/3918 https://revistaseletronicas.pucrs.br/scientiamedica/article/view/4539/7811 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 19 No. 2 (2009); 75-80 Scientia Medica; v. 19 n. 2 (2009); 75-80 1980-6108 1806-5562 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101748944502784 |