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Items 1 to 100 of about 139
1. Schteingart DE, Doherty GM, Gauger PG, Giordano TJ, Hammer GD, Korobkin M, Worden FP: Management of patients with adrenal cancer: recommendations of an international consensus conference. Endocr Relat Cancer; 2005 Sep;12(3):667-80
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Management of patients with adrenal cancer: recommendations of an international consensus conference.
  • Adrenocortical carcinomas are rare, highly malignant tumors that account for only 0.2% of deaths due to cancer.
  • Given the limited number of patients seen in most medical centers with this diagnosis, series usually reported are small and clinical trials not randomized or blinded.
  • In an attempt to answer important questions concerning the management of patients with adrenal cancer, a consensus conference was organized and held at the University of Michigan in Ann Arbor, MI, 11-13 September 2003, with the participation of an international group of physicians who had reported on the largest series of patients with this disease and who had recognized basic and clinical research expertise in adrenal cortical cancer.
  • In addition to setting up guidelines in specific areas of the diagnosis and treatment of adrenal cancer, the conference recommended and initiated the planning of an international prospective trial for treatment of patients with adrenal cancer in stages III and IV.
  • In terms of new therapies, first trials of dendritic cell therapy in human subjects with adrenal cancer have been started, but it is too early to comment on efficacy.
  • There are no clinical gene therapy trials for human adrenal cortical cancer.
  • The adrenals are a preferred target for adenovirus and the results of gene therapy in preclinical studies are promising.
  • In addition, there is evidence that histone deacetylase inhibitors can further enhance the rate of adenoviral infectivity in human adrenal cancer cells.
  • The use of these and other agents in the treatment of adrenal cancer should be hypothesis-driven and based on a thorough analysis of tumor biology.
  • [MeSH-major] Adrenal Gland Neoplasms / therapy
  • [MeSH-minor] Humans. Neoplasm Staging

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  • (PMID = 16172199.001).
  • [ISSN] 1351-0088
  • [Journal-full-title] Endocrine-related cancer
  • [ISO-abbreviation] Endocr. Relat. Cancer
  • [Language] eng
  • [Grant] United States / NCRR NIH HHS / RR / M 01-RR000 42
  • [Publication-type] Consensus Development Conference; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review
  • [Publication-country] England
  • [Number-of-references] 75
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2. Yoon M, Kim S: Retroperitoneal Pleomorphic Liposarcoma Mimicking Adrenal Cancer in F-18 FDG PET/CT. Nucl Med Mol Imaging; 2010 Sep;44(3):230-1

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  • [Title] Retroperitoneal Pleomorphic Liposarcoma Mimicking Adrenal Cancer in F-18 FDG PET/CT.
  • We present the case of a 42-year-old man who had experienced intermittent left flank pain for a month.
  • Positron emission tomography/computed tomography (PET/CT) with F-18 fluoro-2-deoxy-D-glucose (F-18 FDG) showed intense uptake in the retroperitoneal mass, which mimicked an adrenal cancer.
  • The patient underwent left radical nephroadrenalectomy, and the tumor was revealed to be a pleomorphic liposarcoma upon pathological examination.
  • When there is a large retroperitoneal mass with intense F-18 FDG activity, the possibility of a pleomorphic liposarcoma should be considered.

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  • (PMID = 24899957.001).
  • [ISSN] 1869-3474
  • [Journal-full-title] Nuclear medicine and molecular imaging
  • [ISO-abbreviation] Nucl Med Mol Imaging
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
  • [Other-IDs] NLM/ PMC4042936
  • [Keywords] NOTNLM ; Adrenal cancer / F-18 FDG / Liposarcoma / PET/CT / Pleomorphic / Retroperitoneal
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3. Wu PP, Kuo SC, Huang WW, Yang JS, Lai KC, Chen HJ, Lin KL, Chiu YJ, Huang LJ, Chung JG: (-)-Epigallocatechin gallate induced apoptosis in human adrenal cancer NCI-H295 cells through caspase-dependent and caspase-independent pathway. Anticancer Res; 2009 Apr;29(4):1435-42
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  • [Title] (-)-Epigallocatechin gallate induced apoptosis in human adrenal cancer NCI-H295 cells through caspase-dependent and caspase-independent pathway.
  • Nevertheless, there are no reports to date about the molecular mechanisms and signal pathways of EGCG on the induction of apoptosis in human adrenal NCI-H295 cancer cells.
  • The purpose of this study was to investigate the anticancer effect and molecular mechanisms of EGCG on human adrenal NCI-H295 cancer cells.
  • When NCI-H295 cells were treated with 20 microM EGCG, the mitochondrial membrane potential decreased and intracellular free Ca(2+) increased in a time-dependent manner as analysed by flow cytometry.
  • Based on the above findings, it was confirmed that EGCG may be a drug candidate for the treatment of human adrenal cancer in the future.
  • [MeSH-major] Adrenal Gland Neoplasms / drug therapy. Adrenal Gland Neoplasms / pathology. Anticarcinogenic Agents / pharmacology. Apoptosis / drug effects. Caspases / metabolism. Catechin / analogs & derivatives
  • [MeSH-minor] Blotting, Western. Calcium / metabolism. Flow Cytometry. Humans. Membrane Potential, Mitochondrial / drug effects. Protease Inhibitors / pharmacology. Tumor Cells, Cultured


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4. Simi L, Malentacchi F, Luciani P, Gelmini S, Deledda C, Arvia R, Mannelli M, Peri A, Orlando C: Seladin-1 expression is regulated by promoter methylation in adrenal cancer. BMC Cancer; 2010;10:201
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  • [Title] Seladin-1 expression is regulated by promoter methylation in adrenal cancer.
  • Adrenal glands show the highest levels of seladin-1 expression, which are significantly reduced in adrenal carcinomas (ACC).
  • Furthermore, to evaluate the presence of an epigenetic regulation also 'in vivo', seladin-1 methylation and its mRNA expression were measured in 9 ACC and in 5 normal adrenal glands.
  • In ACC, methylation density of seladin-1 promoter was higher (2682 +/- 686) than in normal adrenal glands (362 +/- 97; p = 0.02).
  • Seladin-1 mRNA expression in ACC (1452 +/- 196) was significantly lower than in normal adrenal glands (3614 +/- 949; p = 0.01).
  • [MeSH-major] Adrenal Gland Neoplasms / genetics. Carcinoma / genetics. DNA Methylation. Epigenesis, Genetic. Nerve Tissue Proteins / genetics. Oxidoreductases Acting on CH-CH Group Donors / genetics. Promoter Regions, Genetic
  • [MeSH-minor] Azacitidine / analogs & derivatives. Azacitidine / pharmacology. Cell Line, Tumor. DNA Modification Methylases / antagonists & inhibitors. DNA Modification Methylases / metabolism. Enzyme Inhibitors / pharmacology. Gene Expression Regulation, Enzymologic. Gene Expression Regulation, Neoplastic. Humans. Polymerase Chain Reaction. RNA, Messenger / metabolism. Time Factors

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  • (PMID = 20465827.001).
  • [ISSN] 1471-2407
  • [Journal-full-title] BMC cancer
  • [ISO-abbreviation] BMC Cancer
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Enzyme Inhibitors; 0 / Nerve Tissue Proteins; 0 / RNA, Messenger; 776B62CQ27 / decitabine; EC 1.3.- / Oxidoreductases Acting on CH-CH Group Donors; EC 1.3.1.- / DHCR24 protein, human; EC 2.1.1.- / DNA Modification Methylases; M801H13NRU / Azacitidine
  • [Other-IDs] NLM/ PMC2875219
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5. Kim HM, Ikeda M, Okano M, Miyoshi N, Hirose H, Yamashita S, Takemasa I, Mizushima T, Yamamoto H, Sekimoto M, Doki Y, Mori M: [A case of recurrent sigmoid colon cancer with adrenal and para-aortic lymph node metastasis successfully treated by operation and chemotherapy]. Gan To Kagaku Ryoho; 2010 Nov;37(12):2548-50
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  • [Title] [A case of recurrent sigmoid colon cancer with adrenal and para-aortic lymph node metastasis successfully treated by operation and chemotherapy].
  • We report a case of 57-year-old woman suffering from advanced sigmoid colon cancer with adrenal and para-aortic lymph node recurrence.
  • Sigmoidectomy was performed for sigmoid colon cancer in January 2002.
  • However, adrenal and para-aortic lymph node recurrence was detected in February 2007, and mFOLFOX6 was performed as preoperative chemotherapy.
  • She had no recurrence for almost 3 years after a resection of adrenal and para-aortic lymph node metastasis.
  • [MeSH-major] Adrenal Gland Neoplasms / secondary. Adrenal Gland Neoplasms / therapy. Liver Neoplasms / secondary. Liver Neoplasms / therapy. Lymphatic Metastasis. Sigmoid Neoplasms / pathology. Sigmoid Neoplasms / therapy
  • [MeSH-minor] Adrenalectomy. Angiogenesis Inhibitors / administration & dosage. Antibodies, Monoclonal / administration & dosage. Antibodies, Monoclonal, Humanized. Antineoplastic Agents, Phytogenic / administration & dosage. Antineoplastic Combined Chemotherapy Protocols / administration & dosage. Antineoplastic Combined Chemotherapy Protocols / adverse effects. Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Aorta. Bevacizumab. Camptothecin / administration & dosage. Camptothecin / analogs & derivatives. Combined Modality Therapy. Female. Fluorouracil / therapeutic use. Hepatectomy. Humans. Leucovorin / therapeutic use. Middle Aged. Neoplasm Recurrence, Local. Organoplatinum Compounds / therapeutic use. Tegafur / administration & dosage. Uracil / administration & dosage

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  • (PMID = 21224635.001).
  • [ISSN] 0385-0684
  • [Journal-full-title] Gan to kagaku ryoho. Cancer & chemotherapy
  • [ISO-abbreviation] Gan To Kagaku Ryoho
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Japan
  • [Chemical-registry-number] 0 / Angiogenesis Inhibitors; 0 / Antibodies, Monoclonal; 0 / Antibodies, Monoclonal, Humanized; 0 / Antineoplastic Agents, Phytogenic; 0 / Organoplatinum Compounds; 1548R74NSZ / Tegafur; 2S9ZZM9Q9V / Bevacizumab; 56HH86ZVCT / Uracil; 7673326042 / irinotecan; Q573I9DVLP / Leucovorin; U3P01618RT / Fluorouracil; XT3Z54Z28A / Camptothecin; 1-UFT protocol; Folfox protocol
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6. Lakemeier S, Westhoff CC, Fuchs-Winkelmann S, Schofer MD: Odontoid process metastasis of bronchial carcinoma as a rare cause for nonmechanical neck pain: a case report. Cases J; 2009;2:8173

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  • Unknown lung cancer with adrenal and pancreatic metastases was revealed by further investigations.
  • CONCLUSION: Detailed pain characterization can already indicate the correct diagnosis.

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  • (PMID = 19830057.001).
  • [ISSN] 1757-1626
  • [Journal-full-title] Cases journal
  • [ISO-abbreviation] Cases J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC2740268
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7. Krsek M: [Adrenal cancer]. Vnitr Lek; 2009 Jan;55(1):54-61
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  • [Title] [Adrenal cancer].
  • [Transliterated title] Karcinom kůry nadledvin.
  • Adrenal cancer is a rare disease which is often diagnosed at a late stage and usually has a poor prognosis.
  • Further, clinical presentation, diagnostic approach and current treatment options in patients with adrenal cancer are summarized.
  • The multidisciplinary approach as well as centralized care is necessary for successful management of patients with adrenal cancer and for improvement of their poor prognosis.
  • [MeSH-major] Adrenal Cortex Neoplasms

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  • [CommentIn] Vnitr Lek. 2009 Jan;55(1):6 [19227948.001]
  • (PMID = 19227956.001).
  • [ISSN] 0042-773X
  • [Journal-full-title] Vnitr̆ní lékar̆ství
  • [ISO-abbreviation] Vnitr Lek
  • [Language] cze
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] Czech Republic
  • [Number-of-references] 62
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8. Katanoda K, Hayashi K, Yamamoto K, Sobue T: Secular trends in neuroblastoma mortality before and after the cessation of national mass screening in Japan. J Epidemiol; 2009;19(5):266-70
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  • METHODS: Utilizing vital statistics data from 1980 through 2006, we analyzed the secular trends in NB mortality by using cancer of the adrenal gland as a surrogate.
  • RESULTS: The number of deaths from cancer of the adrenal gland was closely correlated with the number of deaths from NB.

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  • (PMID = 19652443.001).
  • [ISSN] 1349-9092
  • [Journal-full-title] Journal of epidemiology
  • [ISO-abbreviation] J Epidemiol
  • [Language] ENG
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Japan
  • [Other-IDs] NLM/ PMC3924130
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9. Mokos I, Bernat MM, Mareković Z, Pasini J: Virilizing adrenal cancer and bail-out nephrectomy. Coll Antropol; 2005 Dec;29(2):753-5
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  • [Title] Virilizing adrenal cancer and bail-out nephrectomy.
  • We report a rare case of virilizing adrenal cancer with tumorous invasion of the left renal vein in which a retroperitoneal adrenalectomy with bail-out nephrectomy was performed.
  • A tumor thrombus infiltrated the wall of the left adrenal vein and extended into the left renal vein.
  • Initially, a kidney sparing procedure with partial tangential excision of the involved renal vein wall was performed.
  • To the authors' awareness, this is the first report of a virilizing adrenal cancer with a tumor thrombus infiltration of the renal vein and surgical tendency for kidney preservation.
  • [MeSH-major] Adrenal Cortex Neoplasms / pathology. Adrenal Cortex Neoplasms / surgery. Adrenalectomy. Neoplastic Cells, Circulating / pathology. Nephrectomy. Renal Veins / pathology. Virilism / etiology

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  • (PMID = 16417195.001).
  • [ISSN] 0350-6134
  • [Journal-full-title] Collegium antropologicum
  • [ISO-abbreviation] Coll Antropol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Croatia
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10. Schteingart DE, Benitez R, Bradford C, Narayan A, Wang S: Expression of anti-apoptosis genes determines the response of adrenal cancer to apoptosis-inducing chemotherapy. Anticancer Res; 2010 Dec;30(12):4805-9
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  • [Title] Expression of anti-apoptosis genes determines the response of adrenal cancer to apoptosis-inducing chemotherapy.
  • BACKGROUND: This study tested the hypothesis that response of adrenal cortical carcinoma (ACC) to pro-apoptosis drugs depends on expression of anti-apoptosis genes.
  • MATERIALS AND METHODS: Expression of Bcl-2 and Bcl-XL proteins was determined in two human adrenal cancer cell lines, NCI-H-295 and RL-251.
  • Profiling adrenal tumors for expression of anti-apoptosis genes may provide clues to their potential response to drugs that induce apoptosis.
  • [MeSH-major] Adrenal Cortex Neoplasms / drug therapy. Adrenal Cortex Neoplasms / genetics. Apoptosis / drug effects. Apoptosis / genetics. Proto-Oncogene Proteins c-bcl-2 / biosynthesis. bcl-X Protein / biosynthesis
  • [MeSH-minor] Animals. Cell Line, Tumor. Genes, bcl-2. Gossypol / pharmacology. Humans. Mice. Mice, SCID. Taxoids / pharmacology

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  • (PMID = 21187456.001).
  • [ISSN] 1791-7530
  • [Journal-full-title] Anticancer research
  • [ISO-abbreviation] Anticancer Res.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Greece
  • [Chemical-registry-number] 0 / BCL2L1 protein, human; 0 / Proto-Oncogene Proteins c-bcl-2; 0 / Taxoids; 0 / bcl-X Protein; 15H5577CQD / docetaxel; KAV15B369O / Gossypol
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11. Berthon A, Sahut-Barnola I, Lambert-Langlais S, de Joussineau C, Damon-Soubeyrand C, Louiset E, Taketo MM, Tissier F, Bertherat J, Lefrançois-Martinez AM, Martinez A, Val P: Constitutive beta-catenin activation induces adrenal hyperplasia and promotes adrenal cancer development. Hum Mol Genet; 2010 Apr 15;19(8):1561-76
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  • [Title] Constitutive beta-catenin activation induces adrenal hyperplasia and promotes adrenal cancer development.
  • Adrenocortical carcinoma is a rare but aggressive cancer with unknown aetiology.
  • Constitutive activation of beta-catenin is the most frequent alteration in benign and malignant adrenocortical tumours in patients.
  • Here, we show that constitutive activation of beta-catenin in the adrenal cortex of transgenic mice resulted in progressive steroidogenic and undifferentiated spindle-shaped cells hyperplasia as well as dysplasia of the cortex and medulla.
  • Over a 17 months time course, transgenic adrenals developed malignant characteristics such as uncontrolled neovascularization and loco-regional metastatic invasion.
  • Altogether these observations demonstrate that constitutively active beta-catenin is an adrenal oncogene which triggers benign aldosterone-secreting tumour development and promotes malignancy.
  • [MeSH-major] Adrenal Cortex / pathology. Adrenal Gland Neoplasms / metabolism. Adrenal Gland Neoplasms / pathology. beta Catenin / metabolism
  • [MeSH-minor] Aldosterone / metabolism. Animals. Cell Proliferation. Disease Models, Animal. Humans. Hyperplasia. Mice. Mice, Inbred C57BL. Mice, Transgenic. Neoplasm Metastasis


12. Giordano TJ: Adrenocortical tumors: an integrated clinical, pathologic, and molecular approach at the University of Michigan. Arch Pathol Lab Med; 2010 Oct;134(10):1440-3
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  • CONTEXT: The University of Michigan Health System has a rich tradition in the study and treatment of endocrine neoplasia.
  • Recently, an integrated clinical and research program focused on primary cancer of the adrenal gland has been developed.
  • OBJECTIVE: To discuss the foundation of the University of Michigan Adrenal Cancer Program that consists of 3 components:.
  • [MeSH-major] Adrenal Cortex Neoplasms / genetics. Adrenal Cortex Neoplasms / pathology

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  • (PMID = 20923297.001).
  • [ISSN] 1543-2165
  • [Journal-full-title] Archives of pathology & laboratory medicine
  • [ISO-abbreviation] Arch. Pathol. Lab. Med.
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Chemical-registry-number] EC 2.7.10.1 / Receptor, IGF Type 1
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13. Lawnicka H, Kowalewicz-Kulbat M, Sicinska P, Altmann KH, Hofmann T, Stepien H: Resorcylic acid lactone L-783,277 inhibits the growth of the human adrenal cancer cell line H295R in vitro. Int J Immunopathol Pharmacol; 2009 Oct-Dec;22(4):889-95
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  • [Title] Resorcylic acid lactone L-783,277 inhibits the growth of the human adrenal cancer cell line H295R in vitro.
  • However, the role of this compound in the regulation of endocrine-related cancer cell growth and tumor progression remains unknown.
  • [MeSH-major] Adrenal Cortex Neoplasms / pathology. Adrenocortical Carcinoma / pathology. Antineoplastic Agents / pharmacology. Cell Proliferation / drug effects. Lactones / pharmacology. Mitogen-Activated Protein Kinase Kinases / antagonists & inhibitors. Protein Kinase Inhibitors / pharmacology. Resorcinols / pharmacology
  • [MeSH-minor] Apoptosis / drug effects. Cell Cycle / drug effects. Cell Line, Tumor. Cell Survival / drug effects. Dose-Response Relationship, Drug. Humans. Inhibitory Concentration 50

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  • (PMID = 20074452.001).
  • [ISSN] 0394-6320
  • [Journal-full-title] International journal of immunopathology and pharmacology
  • [ISO-abbreviation] Int J Immunopathol Pharmacol
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Antineoplastic Agents; 0 / L 783277; 0 / Lactones; 0 / Protein Kinase Inhibitors; 0 / Resorcinols; EC 2.7.12.2 / Mitogen-Activated Protein Kinase Kinases
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14. Kasperlik-Zaluska AA, Cichocki A: Clinical role of determination of plasma mitotane and its metabolites levels in patients with adrenal cancer: results of a long-term follow-up. J Exp Ther Oncol; 2005;5(2):125-32
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Clinical role of determination of plasma mitotane and its metabolites levels in patients with adrenal cancer: results of a long-term follow-up.
  • [MeSH-major] Adrenal Gland Neoplasms / drug therapy. Antineoplastic Agents, Hormonal / blood. Mitotane / analogs & derivatives. Mitotane / blood

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  • (PMID = 16471038.001).
  • [ISSN] 1359-4117
  • [Journal-full-title] Journal of experimental therapeutics & oncology
  • [ISO-abbreviation] J. Exp. Ther. Oncol.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antineoplastic Agents, Hormonal; 34113-46-7 / 2,2-(2-chlorophenyl-4'-chlorophenyl)acetic acid; 3424-82-6 / 2,2-(2-chlorophenyl-4'-chlorophenyl)-1,1-dichloroethene; 78E4J5IB5J / Mitotane
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15. Imataki O, Makimoto A, Kojima R, Sakiyama M, Hosono A, Takaue Y: Intensive multimodality therapy including paclitaxel and reduced-intensity allogeneic hematopoietic stem cell transplantation in the treatment of adrenal cancer with multiple metastases. Int J Clin Oncol; 2006 Apr;11(2):156-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Intensive multimodality therapy including paclitaxel and reduced-intensity allogeneic hematopoietic stem cell transplantation in the treatment of adrenal cancer with multiple metastases.
  • Adrenocortical carcinoma is a rare malignancy in adolescents and young adults.
  • The prognosis of unresectable/metastatic adrenocortical carcinoma remains very poor because the rarity of the tumor has made it difficult to establish treatment guidelines, and diagnosis and the resultant treatment can be greatly delayed.
  • We treated a 24-year-old woman who was diagnosed with adrenocortical carcinoma of the right adrenal gland which extended to the inferior vena cava.
  • Although she underwent surgical resection of the extensive tumor as the primary treatment, the disease recurred in the lung and liver as multiple metastases shortly after surgery.
  • Although this experience is limited, we suggest that TIP chemotherapy was effective for adrenocortical carcinoma, and a graft-versus-tumor effect after reduced-intensity stem cell transplantation may have contributed to the prolonged survival.
  • [MeSH-major] Adrenal Gland Neoplasms / therapy. Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Hematopoietic Stem Cell Transplantation. Liver Neoplasms / therapy. Lung Neoplasms / therapy


16. Kato M, Higashihara E: [Urological cancer]. Gan To Kagaku Ryoho; 2005 Sep;32(9):1255-9

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Urological cancer].
  • We reported laparoscopic adrenalectomy for adrenal cancer, our experience of laparoscopic partial nephrectomy, radical prostatectomy, retroperitoneal lymph node dissection for testicular cancer.
  • [MeSH-major] Laparoscopy. Lymph Node Excision. Minimally Invasive Surgical Procedures. Urologic Neoplasms / surgery
  • [MeSH-minor] Adrenal Gland Neoplasms / surgery. Adrenalectomy. Female. Humans. Kidney Neoplasms / surgery. Male. Nephrectomy. Prostatectomy. Prostatic Neoplasms / surgery. Testicular Neoplasms / surgery. Urinary Bladder Neoplasms / surgery

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  • (PMID = 16184920.001).
  • [ISSN] 0385-0684
  • [Journal-full-title] Gan to kagaku ryoho. Cancer & chemotherapy
  • [ISO-abbreviation] Gan To Kagaku Ryoho
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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17. Kasperlik-Zaluska AA, Zgliczynski W, Slapa RZ, Cichocki A: Retroperitoneal hemorrhage from adrenocortical carcinoma as a poor prognostic factor. Int J Biomed Sci; 2008 Mar;4(1):78-81

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • A sudden retroperitoneal hemorrhage may sometimes be the first symptom of the adrenal cancer.

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  • (PMID = 23675071.001).
  • [ISSN] 1550-9702
  • [Journal-full-title] International journal of biomedical science : IJBS
  • [ISO-abbreviation] Int J Biomed Sci
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3614665
  • [Keywords] NOTNLM ; adrenal cancer / retroperitoneal hemorrhage / steroids
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18. Fitzgerald PJ: Is elevated norepinephrine an etiological factor in some cases of epilepsy? Seizure; 2010 Jul;19(6):311-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • (5) pheochromocytoma, which is a rare cancer of the adrenal glands that can boost NE levels;.
  • (6) comorbidity of epilepsy with bipolar disorder, hypertension, and obesity, where all four conditions may involve elevated NE; and (7) psychological stress, which is associated with increased release of NE.
  • [MeSH-minor] Adrenal Gland Neoplasms / complications. Adrenal Gland Neoplasms / metabolism. Adrenergic Uptake Inhibitors / pharmacology. Adrenergic alpha-Agonists / pharmacology. Adrenergic alpha-Antagonists / pharmacology. Adrenergic beta-Antagonists / pharmacology. Animals. Antidepressive Agents, Second-Generation / pharmacology. Bipolar Disorder / complications. Humans. Hypertension / complications. Pheochromocytoma / complications. Pheochromocytoma / metabolism. Stress, Psychological / metabolism

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  • [Copyright] 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
  • (PMID = 20493725.001).
  • [ISSN] 1532-2688
  • [Journal-full-title] Seizure
  • [ISO-abbreviation] Seizure
  • [Language] eng
  • [Grant] United States / Intramural NIH HHS / /
  • [Publication-type] Journal Article; Research Support, N.I.H., Intramural; Review
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Adrenergic Uptake Inhibitors; 0 / Adrenergic alpha-Agonists; 0 / Adrenergic alpha-Antagonists; 0 / Adrenergic beta-Antagonists; 0 / Antidepressive Agents, Second-Generation; X4W3ENH1CV / Norepinephrine
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19. Advani A, Johnson SJ, Nicol MR, Papacleovoulou G, Evans DB, Vaikkakara S, Mason JI, Quinton R: Adult-onset hypogonadotropic hypogonadism caused by aberrant expression of aromatase in an adrenocortical adenocarcinoma. Endocr J; 2010;57(7):651-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Estrogen-secreting adrenal cancers are extremely rare, with feminizing symptoms attributed to aromatase expression in the adrenal tumor.
  • A right adrenal mass was identified on CT scanning and the patient underwent an open adrenalectomy.
  • Immunohistochemistry of the adrenal cancer confirmed aberrant expression of aromatase in most, although not all, carcinoma cells.
  • Transcripts associated with utilization of promoters II, I.1 and I.3 were prominently represented in the tumor aromatase mRNA.
  • This case highlights that clinical features of feminizing adrenocortical carcinomas can be secondary to estrogen production by aberrantly transcribed and translated aromatase within the tumor.
  • The diagnosis of adrenocortical adenocarcinoma should be considered in men presenting with low testosterone and gonadotropins, particularly in the presence of feminizing features.
  • [MeSH-major] Adenocarcinoma / genetics. Adrenal Cortex Neoplasms / genetics. Aromatase / genetics. Hypogonadism / genetics

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  • (PMID = 20467160.001).
  • [ISSN] 1348-4540
  • [Journal-full-title] Endocrine journal
  • [ISO-abbreviation] Endocr. J.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Japan
  • [Chemical-registry-number] EC 1.14.14.1 / Aromatase
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20. Fitzgerald PJ: Is norepinephrine an etiological factor in some types of cancer? Int J Cancer; 2009 Jan 15;124(2):257-63
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Is norepinephrine an etiological factor in some types of cancer?
  • I examine evidence that the signaling molecule norepinephrine (NE) is an etiological factor in some types of cancer.
  • (ii) human studies of tricyclic antidepressant use and cancer rate;.
  • (iii) existence of pheochromocytoma, a cancer of the adrenal glands;.
  • (iv) cancer rate in families with individuals who have bipolar disorder;.
  • (v) hypertension and cancer risk;.
  • (vi) excessive body weight and cancer risk; and (vii) psychological stressors and cancer risk.
  • Three aspects of the body's NE system are consistent with it playing an etiological role in various types of cancer: (i) NE circulates in the blood and can thereby access organ systems throughout the body, in addition to direct peripheral release by the sympathetic nervous system and being released within the brain;.
  • Most importantly, use of existing pharmaceutical drugs that either lower the level of NE (such as clonidine) or block NE receptors may lower the probability of an individual developing cancer, and this hypothesis could be tested immediately by an epidemiologist through examination of existing medical records.
  • [MeSH-major] Neoplasms / chemically induced. Norepinephrine / adverse effects

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  • [Copyright] Copyright 2008 Wiley-Liss, Inc.
  • [CommentIn] Int J Cancer. 2011 Feb 1;128(3):737-8; author reply 739 [20333678.001]
  • (PMID = 19004004.001).
  • [ISSN] 1097-0215
  • [Journal-full-title] International journal of cancer
  • [ISO-abbreviation] Int. J. Cancer
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anticarcinogenic Agents; 0 / Receptors, Adrenergic; MN3L5RMN02 / Clonidine; X4W3ENH1CV / Norepinephrine
  • [Number-of-references] 82
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21. Sturgeon C, Shen WT, Clark OH, Duh QY, Kebebew E: Risk assessment in 457 adrenal cortical carcinomas: how much does tumor size predict the likelihood of malignancy? J Am Coll Surg; 2006 Mar;202(3):423-30
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Risk assessment in 457 adrenal cortical carcinomas: how much does tumor size predict the likelihood of malignancy?
  • BACKGROUND: Laparoscopic adrenalectomy for tumors > 6 cm is controversial because of the risk of malignancy, but data to support this position are mostly from small series.
  • STUDY DESIGN: Adrenocortical carcinomas (ACC) recorded in the Surveillance, Epidemiology, and End Results (SEER) database (1988 to 2000) were compared with benign functional or nonfunctional adrenal cortical adenomas (excluding aldosteronomas) operated on at our institution between January 1, 1993, and July 1, 2003.
  • RESULTS: We identified 457 patients with ACC and 47 patients with adrenal cortical adenomas; 376 and 44 neoplasms, respectively, had tumor size data available.
  • Tumor size was larger in ACC (12.0 +/- 5.6 versus 4.2 +/- 1.9 cm, mean +/- SD, p < 0.05).
  • For ACC presenting with local disease, the sensitivity, specificity, and likelihood ratios of tumor size to predict malignancy were 96%, 52%, and 2.0, respectively, for tumors > or = 4 cm; 90%, 80%, and 4.4 for tumors > or = 6 cm; 77%, 95%, and 16.9 for tumors > or = 8 cm; and 55%, 98%, and 24.4 for tumors > or = 10 cm.
  • Assuming a pretest probability of malignancy of 5%, the likelihood ratios derived from this study yield a posttest probability of 10%, 19%, and 47% for cancer in adrenal cortical tumors > or = 4 cm, > or = 6 cm, and > or = 8 cm, respectively.
  • CONCLUSIONS: These data suggest that size is useful for predicting malignancy, and that at a size threshold of > or = 4 cm, the likelihood of malignancy doubles (to 10%) and it is more than ninefold higher for tumors > or = 8 cm (47%).
  • [MeSH-major] Adrenal Cortex Neoplasms / pathology. Adrenocortical Carcinoma / pathology
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Child. Child, Preschool. Diagnosis, Differential. Female. Humans. Infant. Infant, Newborn. Male. Middle Aged. Neoplasm Staging. Prevalence. Probability. Prognosis. Retrospective Studies. Risk Assessment. SEER Program / statistics & numerical data. Severity of Illness Index

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  • (PMID = 16500246.001).
  • [ISSN] 1072-7515
  • [Journal-full-title] Journal of the American College of Surgeons
  • [ISO-abbreviation] J. Am. Coll. Surg.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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22. Hirai T, Tsujihata M, Ueda T, Nonomura N, Okuyama A: A case of polymyositis associated with adrenal carcinoma. Int J Urol; 2007 Oct;14(10):952-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A case of polymyositis associated with adrenal carcinoma.
  • The association between idiopathic inflammatory myositis and cancer is well recognized.
  • Most descriptions have been of dermatomyositis-associated cancer, however, a few have been of polymyositis-associated adrenal cancer.
  • Here, we report a 69-year-old man in whom polymyositis-associated adrenal cancer was diagnosed.
  • Imaging studies showed a solid tumor measuring 14 x 9 cm in the retroperitoneum.
  • After surgical excision of the tumor, including the left kidney, the serum levels of creatine kinase and lactic dehydrogenase normalized, and symptoms of myositis disappeared.
  • [MeSH-major] Adrenal Cortex Neoplasms / diagnosis. Carcinoma / diagnosis. Polymyositis / diagnosis

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  • (PMID = 17880299.001).
  • [ISSN] 0919-8172
  • [Journal-full-title] International journal of urology : official journal of the Japanese Urological Association
  • [ISO-abbreviation] Int. J. Urol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Australia
  • [Chemical-registry-number] EC 1.1.1.27 / L-Lactate Dehydrogenase; EC 2.7.3.2 / Creatine Kinase
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23. Murray SA, Nickel BM, Gay VL: Gap junctions as modulators of adrenal cortical cell proliferation and steroidogenesis. Mol Cell Endocrinol; 2009 Mar 5;300(1-2):51-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Gap junctions as modulators of adrenal cortical cell proliferation and steroidogenesis.
  • In the adrenal gland, as in most other tissues, intercellular communication provides the potential for regulation of a number of complex interactive cell processes including differentiation, steroidogenesis, migration, and proliferation.
  • This review is concerned with the regulation of gap junctions and cell function in cortical cells of the adrenal gland and in pathological disorders such as adrenal cancer.
  • [MeSH-major] Adrenal Cortex. Cell Proliferation. Gap Junctions / metabolism. Steroids / biosynthesis
  • [MeSH-minor] Adrenal Cortex Neoplasms / metabolism. Adrenal Cortex Neoplasms / physiopathology. Adrenal Medulla / cytology. Adrenal Medulla / physiology. Animals. Cell Movement / physiology. Connexins / metabolism

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  • (PMID = 18973789.001).
  • [ISSN] 0303-7207
  • [Journal-full-title] Molecular and cellular endocrinology
  • [ISO-abbreviation] Mol. Cell. Endocrinol.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Review
  • [Publication-country] Ireland
  • [Chemical-registry-number] 0 / Connexins; 0 / Steroids
  • [Number-of-references] 55
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24. Gross MD, Korobkin M, Bou-Assaly W, Rubello D: Incidentally-discovered adrenal masses. Discov Med; 2010 Jan;9(44):24-33
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Incidentally-discovered adrenal masses.
  • Unanticipated adrenal masses are frequently encountered in modern, high resolution diagnostic imaging.
  • Most often, these masses are benign adrenal adenomas, but when detected they necessitate a clinical evaluation sufficient to exclude subclinical endocrine disease, primary adrenal cancer, and remote metastases to the adrenal glands from other malignancies.
  • These "incidentally-discovered" adrenal masses or so-called "adrenal incidentalomas" can be further evaluated with CT, MRI, and nuclear medicine imaging techniques.
  • A substantial literature supports the use of each of these modalities to non-invasively characterize these neoplasms that have been considered by some as a 'disease' of modern imaging technology.
  • [MeSH-major] Adrenal Gland Diseases / diagnosis
  • [MeSH-minor] Adrenal Gland Neoplasms / diagnosis. Humans. Incidental Findings. Magnetic Resonance Imaging. Tomography, X-Ray Computed

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  • (PMID = 20102682.001).
  • [ISSN] 1944-7930
  • [Journal-full-title] Discovery medicine
  • [ISO-abbreviation] Discov Med
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 18
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25. Haleblian GE, Wilson C, Haddad D, Albala DM: Adrenocortical carcinoma: role of laparoscopic surgery in treatment. Expert Rev Anticancer Ther; 2007 Sep;7(9):1295-300
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Adrenocortical carcinoma is a rare disorder with a prevalence of one case per 1.7 million people and a generally poor prognosis.
  • It accounts for 0.02% of all cancer cases and 0.2% of cancer deaths.
  • Within the past three decades, accurate diagnosis, precise radiologic localization, satisfactory preoperative medical management, appropriate anesthesia and refined surgical techniques have come together to render the surgical management of adrenal abnormalities a safe endeavor with predictable outcomes.
  • While there is a general agreement on the suitability of the laparoscopic approach for benign adrenal lesions, controversy remains regarding the use of laparoscopy for suspected adrenal malignancies.
  • This paper provides an overview of adrenal cancer and reviews the literature on laparoscopic adrenalectomy for cancer, including the operative techniques, indications and contraindications.
  • [MeSH-major] Adrenal Cortex Neoplasms / surgery. Adrenocortical Carcinoma / surgery. Laparoscopy / methods

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  • (PMID = 17892430.001).
  • [ISSN] 1744-8328
  • [Journal-full-title] Expert review of anticancer therapy
  • [ISO-abbreviation] Expert Rev Anticancer Ther
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] England
  • [Number-of-references] 28
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26. Horstmann M, Merseburger AS, Stenzl A, Kuczyk M: [Systemic therapy of malignant adrenal tumors]. Urologe A; 2006 May;45(5):605-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Systemic therapy of malignant adrenal tumors].
  • Systemic treatment of advanced-stage adrenal malignancies is most often only palliative.
  • Mitotane alone or in combination with other chemotherapeutic agents such as cisplatin, etoposide, and vincristine are established therapeutic concepts for the treatment of metastatic adrenal cancer.
  • New therapeutic options are tumor vaccination and treatment with antiangiogenic drugs.
  • Metaiodobenzylguanidine as a radiotherapeutic drug or chemotherapeutic combination therapies that include cyclophosphamide, vincristine, and dacarbazine are applied for systemic treatment of malignant pheochromocytomas.. However, the clinical efficacy of the latter regimen needs further evaluation.
  • [MeSH-major] Adrenal Gland Neoplasms / drug therapy. Antineoplastic Agents / therapeutic use. Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Chemotherapy, Adjuvant / methods. Neoplasm Recurrence, Local / prevention & control. Palliative Care / methods. Terminal Care / methods

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  • (PMID = 16622644.001).
  • [ISSN] 0340-2592
  • [Journal-full-title] Der Urologe. Ausg. A
  • [ISO-abbreviation] Urologe A
  • [Language] ger
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Antineoplastic Agents
  • [Number-of-references] 31
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27. Strosberg JR, Hammer GD, Doherty GM: Management of adrenocortical carcinoma. J Natl Compr Canc Netw; 2009 Jul;7(7):752-8; quiz 759
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Adrenocortical carcinomas (ACCs) are rare tumors that arise from the cortex of the adrenal gland with an incidence 1 to 2 per million.
  • The rarity of this tumor translates into a paucity of experience in managing patients in most medical centers.
  • This article describes the basic diagnostic and prognostic issues in adrenal cancer management, and presents detailed rationales for therapeutic management.
  • [MeSH-major] Adrenal Cortex Neoplasms / therapy. Adrenocortical Carcinoma / therapy
  • [MeSH-minor] Antineoplastic Agents, Hormonal / therapeutic use. Catecholamines / analysis. Chemotherapy, Adjuvant. Cushing Syndrome / drug therapy. Cushing Syndrome / etiology. Diagnostic Imaging. Humans. Hydrocortisone / analysis. Metanephrine / analysis. Mitotane / therapeutic use. Neoplasm Metastasis. Neoplasm Staging. Prognosis

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  • (PMID = 19635227.001).
  • [ISSN] 1540-1405
  • [Journal-full-title] Journal of the National Comprehensive Cancer Network : JNCCN
  • [ISO-abbreviation] J Natl Compr Canc Netw
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antineoplastic Agents, Hormonal; 0 / Catecholamines; 5001-33-2 / Metanephrine; 78E4J5IB5J / Mitotane; WI4X0X7BPJ / Hydrocortisone
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28. Montoya M, Brown JW, Fishman LM: Comparative effects of chemotherapeutic agents on the growth and survival of human adrenal carcinoma cells in culture. Horm Metab Res; 2008 May;40(5):302-5
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  • [Title] Comparative effects of chemotherapeutic agents on the growth and survival of human adrenal carcinoma cells in culture.
  • Adrenocortical carcinoma is an uncommon malignancy that is usually fatal within a short time after diagnosis.
  • We have investigated the effects on the growth and survival of SW-13 human adrenal carcinoma cells in culture of some currently used and some potentially new agents in the treatment of adrenal cancer.
  • All the other agents tested required much higher doses for effect, including mitotane, the current most commonly used chemotherapy for adrenal cancer, with an EC (50) of 3.3x10 (-4) M.
  • These data suggest that paclitaxel, 2-methoxyestradiol, and cytosine arabinofuranoside should be further evaluated for their potential in the chemotherapy of adrenal carcinoma.
  • [MeSH-major] Adrenal Gland Neoplasms / drug therapy. Antineoplastic Agents / pharmacology
  • [MeSH-minor] Cell Line, Tumor. Cell Survival / drug effects. Dose-Response Relationship, Drug. Drug Screening Assays, Antitumor / methods. Humans

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  • (PMID = 18491247.001).
  • [ISSN] 0018-5043
  • [Journal-full-title] Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et métabolisme
  • [ISO-abbreviation] Horm. Metab. Res.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Antineoplastic Agents
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29. Pawlikowski M, Winczyk K, Sledź B: Immunohistochemical detection of angiotensin receptors AT1 and AT2 in adrenal tumors. Folia Histochem Cytobiol; 2008;46(1):51-5
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  • [Title] Immunohistochemical detection of angiotensin receptors AT1 and AT2 in adrenal tumors.
  • Angiotensin II is well known to affect the adrenal cell growth and function.
  • Angiotensin receptors AT1 and AT2 were found to be present in the normal adrenal gland.
  • However, the data on the expression of the angiotensin receptors in the adrenal tumors are very scarce.
  • To overcome this gap, the paraffin sections of the adrenal cortical tumors and of pheochromocytomas from the archival material were immunostained with antibodies raised against AT1 (sc-1173) and AT2 (sc-9040) receptor proteins.
  • In hyperplasia of the adrenal cortex and in benign adrenocortical adenomas, both functioning and non-functioning, the AT1 immunostaining was present mainly in the cell membranes.
  • In the adrenal cancer, as well as in pheochromocytomas, neither cell membranes nor cell nuclei were immunostained with anti-AT1 antibody.
  • Our data indicates that the expression of AT1 receptors is altered in adrenal cancer and in pheochromocytomas.

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  • (PMID = 18296263.001).
  • [ISSN] 1897-5631
  • [Journal-full-title] Folia histochemica et cytobiologica
  • [ISO-abbreviation] Folia Histochem. Cytobiol.
  • [Language] ENG
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Poland
  • [Chemical-registry-number] 0 / Receptor, Angiotensin, Type 1; 0 / Receptor, Angiotensin, Type 2; 4964P6T9RB / Aldosterone; WI4X0X7BPJ / Hydrocortisone
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30. Gazymov MM, Filipov DS: [Adrenal tumors: topical diagnosis and surgical outcomes]. Urologiia; 2005 Sep-Oct;(5):9-12
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  • [Title] [Adrenal tumors: topical diagnosis and surgical outcomes].
  • A total of 128 adrenalectomies were made for catechol-producing tumor (n = 69), mineralocorticism (n = 27), primary and metastatic adrenal cancer (n = 20), other tumors (n = 12).
  • The rest patients improved, i.e. their malignant hypertension converted to a benign one.
  • If cancer involves the upper segment of the kidney, the tumor often invades the adrenal.
  • Therefore, pre- and intraoperative search for adrenal tumor must be made.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Adrenal Gland Neoplasms / surgery. Adrenalectomy. Hypertension / surgery

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  • (PMID = 16281831.001).
  • [ISSN] 1728-2985
  • [Journal-full-title] Urologii︠a︡ (Moscow, Russia : 1999)
  • [ISO-abbreviation] Urologiia
  • [Language] rus
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Russia (Federation)
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31. Benavente-Chenhalls LA, Vella A, Farley DR, Thompson GB, Grant CS, Richards ML: Malignant adrenal neoplasm masquerading as worrisome adrenal hemorrhage. Ann Surg Oncol; 2010 Oct;17(10):2710-3
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  • [Title] Malignant adrenal neoplasm masquerading as worrisome adrenal hemorrhage.
  • BACKGROUND: Adrenal hemorrhage (AH) associated with adrenal neoplasm is rare.
  • This study assesses the clinical and pathological impact of AH in the setting of malignant adrenal neoplasm to establish management strategies.
  • MATERIALS AND METHODS: Patients admitted over a 25-year period with a diagnosis of AH and malignant adrenal neoplasm were retrospectively reviewed.
  • RESULTS: Malignant adrenal neoplasms were reported in 14 of 217 patients (6.4%) presenting with AH.
  • In 10 patients the adrenal tumor was metastatic.
  • All primary adrenal tumors were unilateral.
  • Computed tomography (n = 12) demonstrated adrenal masses ranging in size from 6.8 to 11.0 cm (mean, 9 cm).
  • CONCLUSION: Most patients with AH in the setting of malignant adrenal neoplasm had metastatic tumors to the adrenal glands.
  • [MeSH-major] Adrenal Gland Neoplasms / complications. Adrenal Gland Neoplasms / diagnosis. Hemorrhage / complications. Hemorrhage / diagnosis
  • [MeSH-minor] Adult. Aged. Diagnosis, Differential. Female. Humans. Male. Middle Aged. Prognosis. Retrospective Studies

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  • (PMID = 20499282.001).
  • [ISSN] 1534-4681
  • [Journal-full-title] Annals of surgical oncology
  • [ISO-abbreviation] Ann. Surg. Oncol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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32. Narimoto K, Mizokami A, Izumi K, Mihara S, Sawada K, Sugata T, Shimamura M, Miyazaki K, Nishino A, Namiki M: Adrenal androgen levels as predictors of outcome in castration-resistant prostate cancer patients treated with combined androgen blockade using flutamide as a second-line anti-androgen. Int J Urol; 2010 Apr;17(4):337-45
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  • [Title] Adrenal androgen levels as predictors of outcome in castration-resistant prostate cancer patients treated with combined androgen blockade using flutamide as a second-line anti-androgen.
  • OBJECTIVES: To analyze the clinical effects of flutamide as a second-line anti-androgen for combined androgen blockade in patients with castration-resistant prostate cancer (CRPC) initially treated with bicalutamide as a first-line anti-androgen.
  • Furthermore, adrenal androgen levels in a medium of adrenal cancer cell line were also measured.
  • In vitro, 3 micromol/L flutamide suppressed DHEA, androstenedione and androstenediol synthesis compared with bicalutamide in a medium of adrenal cancer cell line.
  • CONCLUSIONS: Our data show that flutamide suppresses the adrenal androgens in comparison with bicalutamide.
  • Metabolites from adrenal androgens contribute to the progression of prostate cancer.
  • [MeSH-major] Adenocarcinoma / drug therapy. Androgen Antagonists / therapeutic use. Androgens / blood. Flutamide / therapeutic use. Prostate-Specific Antigen / blood. Prostatic Neoplasms / drug therapy
  • [MeSH-minor] Adrenal Glands / secretion. Aged. Aged, 80 and over. Cell Line, Tumor. Humans. Male. Orchiectomy. Prognosis. Salvage Therapy


33. Ramírez Plaza CP, Santoyo Santoyo J, Domínguez López ME, Eloy-García Carrasco C, Cobo Dols M, Suárez Muñoz MA, Fernández Aguilar JL, de la Fuente Perucho A: [Adrenal carcinoma: 7 year disease free survival after complete primary tumor resection and repeated resection of local-regional and distant recurrences. Review after one case with poor initial life expectancy]. Arch Esp Urol; 2005 Mar;58(2):115-9
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  • [Title] [Adrenal carcinoma: 7 year disease free survival after complete primary tumor resection and repeated resection of local-regional and distant recurrences. Review after one case with poor initial life expectancy].
  • [Transliterated title] Carcinoma suprarrenal: supervivencia a 7 años libre de enfermedad tras resección completa del tumor primario y resecciones repetidas de recidivas locorregional y a distancia. Revisión a raiz de un caso con una pobre esperanza de vida inicial.
  • OBJECTIVES: We report the case of a female patient with adrenal carcinoma who had undergone surgery and presented with local-regional and distant recurrences, emphasizing the importance of the aggressive surgical treatment to achieve long-term survival which is unexpected sometimes.
  • METHODS/RESULTS: We report the case of a 29-year-old female patient who consulted for left flank pain, being diagnosed of an adrenal tumor by radiological tests; she underwent surgical excision of a left adrenal carcinoma (stage II).
  • Currently, the patient is alive and free of disease 7 years after diagnosis.
  • CONCLUSIONS: Adrenal cancer recurrences have been considered lethal in the short-term.
  • Nevertheless, an aggressive surgical approach of local recurrences and metastasic disease may significantly prolong patient's survival and, sometimes, leave the patient disease free several years after the diagnosis of the primary tumor.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Carcinoma / surgery

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  • (PMID = 15847268.001).
  • [ISSN] 0004-0614
  • [Journal-full-title] Archivos españoles de urología
  • [ISO-abbreviation] Arch. Esp. Urol.
  • [Language] spa
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Spain
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34. Mezhir JJ, Song J, Piano G, Testa G, Raman J, Al-Ahmadie HA, Angelos P: Adrenocortical carcinoma invading the inferior vena cava: case report and literature review. Endocr Pract; 2008 Sep;14(6):721-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • OBJECTIVE: To present the case of a man with a right-sided adrenocortical carcinoma that invaded the inferior vena cava and was managed by radical resection and vein patch repair.
  • RESULTS: In a 34-year-old man with new-onset abdominal pain, abdominal imaging disclosed a large right adrenal mass with invasion into the inferior vena cava.
  • Laboratory values revealed that the adrenal mass was likely nonfunctional.
  • At surgical intervention with use of cardiopulmonary bypass, the mass was removed en bloc with the adrenal gland, right kidney, and the wall of the inferior vena cava, and the inferior vena cava was reconstructed with bovine pericardium.
  • CONCLUSION: Despite direct invasion or extension of tumor thrombus into the inferior vena cava (or both), complete (R0) resection can be obtained.
  • Thus, this scenario should not preclude attempted curative resection in patients with adrenal cancer.
  • [MeSH-major] Adrenocortical Carcinoma / diagnosis. Adrenocortical Carcinoma / pathology. Vena Cava, Inferior / pathology

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  • (PMID = 18996792.001).
  • [ISSN] 1934-2403
  • [Journal-full-title] Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • [ISO-abbreviation] Endocr Pract
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 23
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35. Maru S, Yamashita N, Shinno Y: [Adrenal multilocular echinococcosis: a case report]. Nihon Hinyokika Gakkai Zasshi; 2007 May;98(4):643-5
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  • [Title] [Adrenal multilocular echinococcosis: a case report].
  • A 79-year-old man was consulted to our hospital for further examination of right adrenal tumor shown by computed tomography.
  • 131I-adosterol scintigram showed decreased uptake on the right adrenal.
  • Right adrenalectomy was done in consider to adrenal cancer.
  • By the pathological findings and the serological tests (ELISA, and Western Blot examination), the tumor was diagnosed as an adrenal multilocular echinococcosis.
  • In Europe, the primary hydatid cyst is found in the adrenal in only 0.05% of the total case.
  • Moreover, adrenal multilocular echinococcosis is extremely rare case, and is not presented yet in the world.
  • By the patient' s residential history, echinococcosis shoud be considered to differential diagnosis of the adrenal tumor in urology.
  • [MeSH-major] Adrenal Gland Diseases / diagnosis. Adrenalectomy. Echinococcosis / diagnosis
  • [MeSH-minor] Adrenal Gland Neoplasms / diagnosis. Aged. Animals. Diagnosis, Differential. Echinococcus multilocularis / isolation & purification. Humans. Male

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  • (PMID = 17564109.001).
  • [ISSN] 0021-5287
  • [Journal-full-title] Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology
  • [ISO-abbreviation] Nippon Hinyokika Gakkai Zasshi
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Japan
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36. Butler C, Butler WM, Rizvi AA: Sustained remission with the kinase inhibitor sorafenib in stage IV metastatic adrenocortical carcinoma. Endocr Pract; 2010 May-Jun;16(3):441-5
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  • An 8-cm left adrenal lesion was found on computed tomography, removed surgically, and confirmed as adrenal carcinoma on pathologic examination.
  • CONCLUSION: Multiple kinase inhibitors such as sorafenib provide targeted oncologic treatment and may be effective in treating advanced adrenal cancer.

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  • (PMID = 20061282.001).
  • [ISSN] 1934-2403
  • [Journal-full-title] Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • [ISO-abbreviation] Endocr Pract
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Benzenesulfonates; 0 / Phenylurea Compounds; 0 / Protein Kinase Inhibitors; 0 / Pyridines; 25X51I8RD4 / Niacinamide; 9ZOQ3TZI87 / sorafenib
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37. Tsuru N, Suzuki K: Laparoscopic adrenalectomy. J Minim Access Surg; 2005 Oct;1(4):165-72

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Laparoscopic adrenalectomy is currently recognized as the gold standard for the treatment of adrenal tumors.
  • We also reviewed the results separately for aldosteronoma, pheochromocytoma, Cushing's syndrome, and primary or metastatic adrenal cancer.Laparoscopic adrenalectomy is a safe and effective treatment for adrenal disorders, excluding primary adrenal cancer.
  • It is important for the surgeon to remove the tumor and the surrounding fat en bloc, especially in the case of large or irregular tumors because of the potential for malignancy.

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  • (PMID = 21206659.001).
  • [ISSN] 0972-9941
  • [Journal-full-title] Journal of minimal access surgery
  • [ISO-abbreviation] J Minim Access Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3004118
  • [Keywords] NOTNLM ; Cushing's syndrome / adrenal cancer / adrenalectomy / aldosteronoma / pheochromocytoma
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38. Zografos GN, Vasiliadis G, Farfaras AN, Aggeli C, Digalakis M: Laparoscopic surgery for malignant adrenal tumors. JSLS; 2009 Apr-Jun;13(2):196-202
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  • [Title] Laparoscopic surgery for malignant adrenal tumors.
  • Advances in imaging have improved early detection of primary and metastatic adrenal tumors.
  • The laparoscopic approach, the gold standard for benign adrenal diseases, is controversial for malignant adrenal tumors.
  • A prospective randomized study of the role of laparoscopic surgery in adrenal cancer is not feasible because of the rarity of the disease.
  • A review of the literature demonstrates the safety and efficacy of laparoscopic adrenalectomy for solitary adrenal tumors.
  • In primary adrenal malignancies, the laparoscopic approach should be considered cautiously, only when it can achieve complete tumor resection with an intact adrenal capsule.
  • Conversion to an open procedure should be an early decision, prior to tumor morcellation or fracture of the tumor capsule.

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  • (PMID = 19660215.001).
  • [ISSN] 1086-8089
  • [Journal-full-title] JSLS : Journal of the Society of Laparoendoscopic Surgeons
  • [ISO-abbreviation] JSLS
  • [Language] ENG
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 63
  • [Other-IDs] NLM/ PMC3015945
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39. Stell A, Sinnott R, Jiang J: Enabling secure, distributed collaborations for adrenal tumor research. Stud Health Technol Inform; 2010;159:259-63

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Enabling secure, distributed collaborations for adrenal tumor research.
  • One such collaboration, which spans several specialist centres across France, Germany, Italy and the UK, is ENSAT - the European Network for the Study of Adrenal Tumors.
  • We describe the architecture, implementation and use to date of this facility to support the ENSAT adrenal cancer research network.
  • [MeSH-major] Adrenal Glands / physiopathology. Biomedical Research. Cooperative Behavior. Neoplasms. Public Health Informatics

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  • (PMID = 20543447.001).
  • [ISSN] 0926-9630
  • [Journal-full-title] Studies in health technology and informatics
  • [ISO-abbreviation] Stud Health Technol Inform
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
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40. Haghpanah V, Soliemanpour B, Heshmat R, Mosavi-Jarrahi AR, Tavangar SM, Malekzadeh R, Larijani B: Endocrine cancer in Iran: based on cancer registry system. Indian J Cancer; 2006 Apr-Jun;43(2):80-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Endocrine cancer in Iran: based on cancer registry system.
  • BACKGROUND: A population-based registry of endocrine cancer cases in four Iranian provinces, was performed for the years 1996-2000.
  • MATERIALS AND METHODS: Patients in each province were grouped according to age, gender and tumor specifics (site, morphology, behavior) and the data was coded according to the international classification of diseases for oncology.
  • RESULTS: A total of 319 cases of primary endocrine cancer were found and registered, including 313 cases of thyroid carcinoma and 6 cases of adrenal cancer.
  • For the 6 cases of adrenal cancer, 4 were neuroblastoma and 2 were pheochromocytoma.
  • [MeSH-major] Endocrine Gland Neoplasms / epidemiology. Endocrine Gland Neoplasms / pathology. Registries / statistics & numerical data
  • [MeSH-minor] Adenocarcinoma, Follicular / epidemiology. Adenocarcinoma, Follicular / pathology. Adolescent. Adrenal Gland Neoplasms / epidemiology. Adrenal Gland Neoplasms / pathology. Adult. Age Distribution. Aged. Carcinoma, Medullary / epidemiology. Carcinoma, Medullary / pathology. Carcinoma, Papillary. Child. Child, Preschool. Female. Humans. Incidence. Infant. Infant, Newborn. Iodine / metabolism. Iran / epidemiology. Male. Middle Aged. Pheochromocytoma / epidemiology. Pheochromocytoma / pathology. Retrospective Studies. Sex Distribution. Thyroid Neoplasms / epidemiology. Thyroid Neoplasms / pathology

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  • (PMID = 16790945.001).
  • [ISSN] 0019-509X
  • [Journal-full-title] Indian journal of cancer
  • [ISO-abbreviation] Indian J Cancer
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Chemical-registry-number] 9679TC07X4 / Iodine
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41. Kasperlik-Załuska AA, Słowińska-Srzednicka J, Rosłonowska E, Kochman M, Jeske W, Otto M, Cichocki A, Słapa RZ, Zgliczyński W: Bilateral, incidentally found adrenal tumours - results of observation of 1790 patients registered at a single endocrinological centre. Endokrynol Pol; 2010 Jan-Feb;61(1):69-73
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Bilateral, incidentally found adrenal tumours - results of observation of 1790 patients registered at a single endocrinological centre.
  • INTRODUCTION: During the last 22 years we registered 1790 patients with incidentally found adrenal tumours (AI, adrenal incidentalomas).
  • The group of patients with bilateral adrenal tumours included 258 women and 93 men, 25-83 years old.
  • Hormonal investigations and imaging examinations were performed to search for subclinical adrenal hyperfunction and to define the malignant potential of the tumours.
  • Histological findings included malignant tumours: metastases - 9, adrenal cancer - 7, and lymphomas - 5; and non-malignant tumours: adenomas - 24, nodular hyperplasia - 14, myelolipomas - 4, and pheochromocytomas - 4.
  • CONCLUSIONS: Indications for surgery were recommended in 20% of patients with bilateral AI, most frequently for adenomas, nodular hyperplasia, and oncological pathologies, with a good prognosis in the non-malignant group. (Pol J Endocrinol 2010; 61 (1): 69-73).
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Adrenal Gland Neoplasms / epidemiology. Incidental Findings. Neoplasms, Second Primary / diagnosis. Neoplasms, Second Primary / epidemiology
  • [MeSH-minor] Adenoma / diagnosis. Adenoma / epidemiology. Adenoma / surgery. Adolescent. Adult. Aged. Aged, 80 and over. Carcinoma / diagnosis. Carcinoma / epidemiology. Carcinoma / surgery. Child. Comorbidity. Cushing Syndrome / epidemiology. Female. Humans. Magnetic Resonance Imaging. Male. Middle Aged. Poland / epidemiology. Tomography, X-Ray Computed. Young Adult

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  • (PMID = 20205107.001).
  • [ISSN] 0423-104X
  • [Journal-full-title] Endokrynologia Polska
  • [ISO-abbreviation] Endokrynol Pol
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Poland
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42. Otsuki H, Ito K, Kosaka T, Mikami H, Yoshii H, Asakuma J, Kaji T, Asano T, Hayakawa M: [Adrenal metastasis of lung adenocarcinoma with unusual sites of lymph node metastasis and concomitant renal cell carcinoma: a case report]. Hinyokika Kiyo; 2007 Dec;53(12):879-82
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  • [Title] [Adrenal metastasis of lung adenocarcinoma with unusual sites of lymph node metastasis and concomitant renal cell carcinoma: a case report].
  • Right adrenal tumor was found by computed tomography and he was referred to our hospital.
  • Imaging studies revealed right adrenal tumor (8 cm) with marked swelling of surrounding lymph nodes and synchronous left renal tumor (2 cm) that was weakly enhanced by contrast media.
  • Needle biopsy of the left kidney proved to be clear cell type renal cell carcinoma (RCC) and the preoperative diagnosis was left RCC and right primary adrenal cancer with lymph node metastasis.
  • Pathological findings of right adrenal tumor and lymph nodes were both metastatic adenocarcinoma, which was not consistent with RCC or adrenal-derived carcinoma.
  • According to pathological findings and an elevation of carcinoembryogenic antigen, the adrenal lesion was diagnosed as adrenal metastasis of lung adenocarcinoma.
  • [MeSH-major] Adenocarcinoma / pathology. Adenocarcinoma / secondary. Adrenal Gland Neoplasms / secondary. Carcinoma, Renal Cell / complications. Kidney Neoplasms / complications. Lung Neoplasms / pathology. Lymphatic Metastasis / pathology. Neoplasms, Multiple Primary


43. Johnson PT, Horton KM, Fishman EK: Adrenal imaging with multidetector CT: evidence-based protocol optimization and interpretative practice. Radiographics; 2009 Sep-Oct;29(5):1319-31
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  • [Title] Adrenal imaging with multidetector CT: evidence-based protocol optimization and interpretative practice.
  • Computed tomography (CT) is an integral tool in the assessment of adrenal masses.
  • Dedicated adrenal CT is performed for a range of indications, including hormonal abnormalities suggestive of a functional adrenal mass and adrenal cancer staging.
  • Whether an adrenal mass is identified serendipitously or is being imaged for further characterization, there are several CT findings that contribute to the diagnosis, such as lesion size, precontrast attenuation, level of enhancement at 60 seconds and on delayed images, percentage washout on delayed images, histogram analysis, and extent (involvement of the inferior vena cava and bilaterality).
  • [MeSH-major] Adrenal Gland Neoplasms / radiography. Adrenal Glands / radiography. Evidence-Based Medicine. Image Enhancement / methods. Tomography, X-Ray Computed / methods

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  • [Copyright] (c) RSNA, 2009.
  • [ErratumIn] Radiographics. 2009 Nov;29(7):2198
  • (PMID = 19755598.001).
  • [ISSN] 1527-1323
  • [Journal-full-title] Radiographics : a review publication of the Radiological Society of North America, Inc
  • [ISO-abbreviation] Radiographics
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 42
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44. Cherifi-Gatta B, Gaye D, Laurent F, Tabarin A: [Adrenal incidentalomas]. Rev Prat; 2008 May 15;58(9):979-89
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  • [Title] [Adrenal incidentalomas].
  • [Transliterated title] Incidentalomes et tumeurs de la loge de la surrénale.
  • The adrenal incidentaloma is an adrenal mass, generally more than 1 cm in diameter, that is discovered serendipitously during a radiologic examination performed for indications other than an evaluation of adrenal disease.
  • The prevalence of adrenal incidentalomas is at least 1% in patients who underwent abdominal CT examination.
  • Surgery is mandatory in patients with secretory tumours (pheochromocytoma, secreting cortical adenomas) and with adrenal cancer.
  • However, the vast majority of adrenal incidentalomas are benign cortical adenomas and surgery is mandatory only in a minority of patients.
  • Systematic aetiological investigation of adrenal incidentalomas should therefore be performed in order to guide the decision on surgical or non surgical management.
  • The optimal duration and modalities of follow-up for patients with adrenal incidentalomas are uncertain.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis

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  • (PMID = 18672664.001).
  • [ISSN] 0035-2640
  • [Journal-full-title] La Revue du praticien
  • [ISO-abbreviation] Rev Prat
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] France
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45. Stratakis CA: Cushing syndrome caused by adrenocortical tumors and hyperplasias (corticotropin- independent Cushing syndrome). Endocr Dev; 2008;13:117-32
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  • Endogenous Cushing syndrome (CS) is caused by excess adrenal glucocorticoid secretion that is adrenocorticotropin (ACTH)-dependent or independent; ACTH-independent adrenocortical causes of CS account for up to 20% of CS in adults, and 15% in children over age 7 years.
  • In both adults and children, adrenocortical lesions causing CS include the common, isolated and sporadic, solitary cortisol-producing adenoma, the rare adrenocortical cancer, and a spectrum of recently recognized, bilateral hyperplasias (bilateral adrenocortical hyperplasias, BAHs): micronodular adrenal disease and its pigmented variant, primary pigmented nodular adrenocortical disease are mostly genetic processes.
  • The majority of benign adrenocortical tumors associated with CS are associated with defects of the cAMP signaling pathway, whereas adrenal cancer is linked to aberrant expression of growth factors and germline or somatic mutations of tumor suppressor genes such as TP53.
  • [MeSH-major] Adenoma / complications. Adrenal Cortex Neoplasms / complications. Adrenal Glands / pathology. Adrenocorticotropic Hormone / physiology. Cushing Syndrome / etiology
  • [MeSH-minor] Algorithms. Cyclic AMP / physiology. Humans. Hyperplasia / complications. Hyperplasia / diagnosis. Hyperplasia / genetics. Signal Transduction / physiology

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  • (PMID = 18493137.001).
  • [ISSN] 1421-7082
  • [Journal-full-title] Endocrine development
  • [ISO-abbreviation] Endocr Dev
  • [Language] eng
  • [Grant] United States / Intramural NIH HHS / / Z01 HD000642-10
  • [Publication-type] Journal Article; Research Support, N.I.H., Intramural; Review
  • [Publication-country] Switzerland
  • [Chemical-registry-number] 9002-60-2 / Adrenocorticotropic Hormone; E0399OZS9N / Cyclic AMP
  • [Number-of-references] 33
  • [Other-IDs] NLM/ NIHMS307822; NLM/ PMC3132884
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46. Wolkersdörfer GW, Marx C, Brown J, Schröder S, Füssel M, Rieber EP, Kuhlisch E, Ehninger G, Bornstein SR: Prevalence of HLA-DRB1 genotype and altered Fas/Fas ligand expression in adrenocortical carcinoma. J Clin Endocrinol Metab; 2005 Mar;90(3):1768-74
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  • A distinctive feature of malignant adrenocortical neoplasms is decreased major histocompatibility complex (MHC) class II molecule expression.
  • Therefore, MHC class II phenotype and genotype and expression patterns of the Fas/Fas ligand system were investigated in 24 adrenocortical tumors (n(Adenomas) = 14, n(Carcinomas) = 10) and an adrenal cancer cell line (NCI-H295).
  • In summary, the DRB1*01 genotype may be correlated to a higher risk for malignancy.
  • Additional studies on MHC class II genotype and phenotype and the altered Fas/Fas ligand system in adrenal neoplasms may help to identify mechanisms of immune escape and suggest new diagnostic approaches.
  • [MeSH-major] Adrenal Cortex Neoplasms / genetics. Adrenocortical Carcinoma / genetics. Antigens, CD95 / metabolism. HLA-DR Antigens / genetics. Membrane Glycoproteins / metabolism

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  • (PMID = 15585555.001).
  • [ISSN] 0021-972X
  • [Journal-full-title] The Journal of clinical endocrinology and metabolism
  • [ISO-abbreviation] J. Clin. Endocrinol. Metab.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antigens, CD95; 0 / FASLG protein, human; 0 / Fas Ligand Protein; 0 / HLA-DR Antigens; 0 / HLA-DRB1 Chains; 0 / Membrane Glycoproteins
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47. Nagase H, Yokouchi H, Ide Y, Okada K, Yanagisawa T, Mukai R, Ota H, Maruyama K, Murata K, Kinuta M: [The case of a person who was revealed by adrenal metastasis of pulmonary pleomorphic carcinoma]. Gan To Kagaku Ryoho; 2010 Nov;37(12):2747-9
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  • [Title] [The case of a person who was revealed by adrenal metastasis of pulmonary pleomorphic carcinoma].
  • Computed tomography revealed a tumor of right adrenal gland and a tumor of upper lobe of the right lung.
  • Adrenal tumor had rapidly increased, so we performed adrenectomy.
  • At first adrenal tumor was diagnosed as primary adrenal cancer because its histological findings did not coincide with those of common histologic types of lung cancer.
  • As there were possibilities that one of adrenal or lung tumor was primary and the other was metastatic or both of the two were double primary, we performed right upper lobectomy.
  • Lung tumor was diagnosed as primary pleomorphic carcinoma containing spindle-shaped tumor cells and adenocarcinoma, and then the diagnosis of adrenal tumor was corrected as metastasis of lung cancer.
  • Two months after the lung operation, cervical lymph node swelling, metastasis of stomach and local recurrence of adrenal tumor appeared.
  • [MeSH-major] Adenocarcinoma / pathology. Adrenal Gland Neoplasms / secondary. Lung Neoplasms / pathology
  • [MeSH-minor] Adrenalectomy. Humans. Male. Middle Aged. Neoplasms, Unknown Primary / diagnosis. Pneumonectomy

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  • (PMID = 21224700.001).
  • [ISSN] 0385-0684
  • [Journal-full-title] Gan to kagaku ryoho. Cancer & chemotherapy
  • [ISO-abbreviation] Gan To Kagaku Ryoho
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Japan
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48. Muehling BM, Toelkes S, Schelzig H, Barth TF, Sunder-Plassmann L: Tyrosine kinase expression in pulmonary metastases and paired primary tumors. Interact Cardiovasc Thorac Surg; 2010 Feb;10(2):228-31
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  • Tyrosine kinase inhibitors against the receptors of vascular endothelial growth factor (VEGFR), epidermal growth factor (EGFR) and the platelet derived growth factor (PDGFR) are increasingly used in the treatment of progressive cancers.
  • Tissue specimen from 35 lung metastases of 33 patients with renal cell carcinoma (n=8), sarcoma (n=10), colorectal carcinoma (n=6), otolaryngologic carcinoma (OLC, n=4), testicular and endometrial cancer (n=1 each), malignant melanoma (n=1), adrenal cancer (n=2), malignant fibrous histiocytoma and malignant peripheral nerve sheath tumor (n=1 each) have been immunohistochemically tested for the expression of PDGFR alpha/beta, VEGFR and EGFR.
  • Our investigation of a pilot character represents a 'biomarker-based' analysis of pulmonary metastases of different primary tumors; we conclude that an immediate 'tumor profiling' at initial diagnosis should be considered in order to guide tumor therapy individually.
  • [MeSH-major] Biomarkers, Tumor / analysis. Lung Neoplasms / enzymology. Lung Neoplasms / secondary. Protein-Tyrosine Kinases / analysis

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  • (PMID = 19948538.001).
  • [ISSN] 1569-9285
  • [Journal-full-title] Interactive cardiovascular and thoracic surgery
  • [ISO-abbreviation] Interact Cardiovasc Thorac Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Angiogenesis Inhibitors; 0 / Biomarkers, Tumor; 0 / Protein Kinase Inhibitors; EC 2.7.10.1 / EGFR protein, human; EC 2.7.10.1 / Protein-Tyrosine Kinases; EC 2.7.10.1 / Receptor, Epidermal Growth Factor; EC 2.7.10.1 / Receptor, Platelet-Derived Growth Factor alpha; EC 2.7.10.1 / Receptor, Platelet-Derived Growth Factor beta; EC 2.7.10.1 / Receptors, Vascular Endothelial Growth Factor
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49. Kanczkowski W, Tymoszuk P, Ehrhart-Bornstein M, Wirth MP, Zacharowski K, Bornstein SR: Abrogation of TLR4 and CD14 expression and signaling in human adrenocortical tumors. J Clin Endocrinol Metab; 2010 Dec;95(12):E421-9
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  • CONTEXT: Adrenocortical carcinoma (ACC) is a rare tumor with poor prognosis.
  • The expression of innate immunity receptor Toll-like receptor 4 (TLR4) was recently reported in various human tumors, and TLR4 was shown to regulate tumor immune escape processes, proliferation, and resistance to chemotherapeutical agents.
  • OBJECTIVE: The aim of this study was to investigate TLR4 expression, signaling, and function in the process of tumorigenesis in the human adrenal cortex.
  • MEASUREMENTS AND MAIN RESULTS: Real-time PCR analysis of human ACC (n=8), adenoma (n=8), and ACC cell lines (SW13, NCI-H295R, and HAC15) revealed a significant down-regulation of TLR4, MD2 (myeloid differentiation protein-2), and cluster of differentiation 14 (CD14) mRNA compared with normal human adrenal cortex and adrenocortical cells in primary culture.
  • Furthermore, our data show that reintroduction of TLR4 expression in ACCs may provide a novel therapeutic strategy for adrenal cancer.
  • [MeSH-major] Adrenal Cortex Neoplasms / genetics. Antigens, CD14 / genetics. Toll-Like Receptor 4 / genetics
  • [MeSH-minor] Adenoma / genetics. Adenoma / pathology. Adrenal Cortex / pathology. Adrenal Cortex / physiology. Adult. Animals. Blotting, Western. Cell Division. Cell Line, Tumor. Down-Regulation. Female. Gene Expression Regulation. Humans. Immunohistochemistry. Male. Middle Aged. Polymerase Chain Reaction / methods. RNA, Messenger / genetics. Reference Values

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  • (PMID = 20826579.001).
  • [ISSN] 1945-7197
  • [Journal-full-title] The Journal of clinical endocrinology and metabolism
  • [ISO-abbreviation] J. Clin. Endocrinol. Metab.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antigens, CD14; 0 / RNA, Messenger; 0 / TLR4 protein, human; 0 / Toll-Like Receptor 4
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50. Conzo G, Tricarico A, Belli G, Candela S, Corcione F, Del Genio G, Ferulano GP, Giardiello C, Livrea A, Marzano LA, Porcelli A, Sperlongano P, Vincenti R, Palazzo A, De Martino C, Musella M: Adrenal incidentalomas in the laparoscopic era and the role of correct surgical indications: observations from 255 consecutive adrenalectomies in an Italian series. Can J Surg; 2009 Dec;52(6):E281-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Adrenal incidentalomas in the laparoscopic era and the role of correct surgical indications: observations from 255 consecutive adrenalectomies in an Italian series.
  • We analyzed the results of a multi-centre trial that was performed to evaluate the effectiveness of imaging (computed tomography and magnetic resonance imaging) to obtain a correct preoperative diagnosis.
  • METHODS: We obtained our data from the results of a questionnaire that was distributed by mail or email in May 2005 to several surgical units operating in the Campania Region, Italy.
  • RESULTS: The distribution of pathologic findings demonstrates that the number of lesions caused by cancer discovered from a preoperative indication of incidentaloma has been even smaller (1/114, 0.8%) than the previous numbers reported in the literature.
  • Moreover, whereas most patients with adrenal cancer had lesions larger than 6 cm (7/8, 87.5%), the majority of patients with adrenal metastases had lesions 6 cm or smaller (10/12, 83.3%).
  • Adrenal malignancies when metastatic are often 6 cm or smaller.
  • If they are single and they originated from a non-small lung cancer, they must be removed.
  • The endocrine surgery unit remains the best setting to evaluate and treat adrenal gland surgical pathology.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods

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  • [Cites] Surgery. 2000 Dec;128(6):973-82;discussion 982-3 [11114632.001]
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  • (PMID = 20011165.001).
  • [ISSN] 1488-2310
  • [Journal-full-title] Canadian journal of surgery. Journal canadien de chirurgie
  • [ISO-abbreviation] Can J Surg
  • [Language] eng
  • [Publication-type] Clinical Trial; Journal Article; Multicenter Study
  • [Publication-country] Canada
  • [Other-IDs] NLM/ PMC2792399
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51. Wang XJ, Shen ZJ, Zhu Y, Zhang RM, Shun FK, Shao Y, Rui WB, He W: Retroperitoneoscopic partial adrenalectomy for small adrenal tumours (&lt; or =1 cm): the Ruijin clinical experience in 88 patients. BJU Int; 2010 Mar;105(6):849-53
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Retroperitoneoscopic partial adrenalectomy for small adrenal tumours (< or =1 cm): the Ruijin clinical experience in 88 patients.
  • OBJECTIVE: To present our experience of retroperitoneoscopic partial adrenalectomy (RPA) for small adrenal tumours, as with modern imaging methods small adrenal lesions are being diagnosed more commonly, and retroperitoneoscopic adrenal surgery for small adrenal tumours (< or =1 cm) can be challenging.
  • PATIENTS AND METHODS: We retrospectively reviewed the records of 389 consecutive retroperitoneoscopic adrenalectomies from September 2005 to December 2008, 88 of which were small adrenal tumours and treated by RPA.
  • We used RPA for adrenal tumours and total adrenalectomy for adrenal cancer.
  • During the surgery, the internal part of the adrenal gland close to the retroperitoneum was freed first, and the whole adrenal tissue was dissected completely.
  • RESULTS: There were no deaths; conversions to open surgery were necessary in four patients (4.5%), the reasons being a missing target in two, massive haemorrhage caused by central adrenal vein injury in one, and severe adhesion in one.
  • The mean (range) size of the adrenal tumours was 0.7 (0.5-1.0) cm, including 69 aldosterone-producing adenomas, 11 nonfunctional adrenal adenomas, three Cushing syndrome, two phaeochromocytomas, two myelolipomas and one melanoma.
  • Tumour size did not correlate with estimated blood loss and operative duration.
  • CONCLUSION: RPA is a safe, effective and minimally invasive therapeutic option for patients with small adrenal tumours.
  • Freeing the internal part of the adrenal gland close to the retroperitoneum first, and exploring the whole adrenal tissue during surgery are the key points of RPA.
  • The location of the small adrenal tumour can be different from that shown on imaging before surgery, and the abnormality of the adrenal gland should be considered.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Laparoscopy

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  • (PMID = 19751254.001).
  • [ISSN] 1464-410X
  • [Journal-full-title] BJU international
  • [ISO-abbreviation] BJU Int.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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52. Cerquetti L, Bucci B, Marchese R, Misiti S, De Paula U, Miceli R, Muleti A, Amendola D, Piergrossi P, Brunetti E, Toscano V, Stigliano A: Mitotane increases the radiotherapy inhibitory effect and induces G2-arrest in combined treatment on both H295R and SW13 adrenocortical cell lines. Endocr Relat Cancer; 2008 Jun;15(2):623-34
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  • This drug and radiotherapy are used also in adrenal cancer treatment even if their biological action in this neoplasia remains unknown.
  • We investigated the effects of o,p'-DDD and ionizing radiations (IR) on cell growth inhibition and cell cycle perturbation in H295R and SW13 adrenocortical cancer cells.
  • This combination treatment induced an irreversible inhibition of cell growth in both adrenocortical cancer cells.
  • [MeSH-major] Adrenal Cortex Neoplasms / pathology. Adrenocortical Carcinoma / pathology. Antineoplastic Agents, Hormonal / pharmacology. Mitotane / pharmacology. Radiotherapy
  • [MeSH-minor] CDC2 Protein Kinase / metabolism. Cell Division / drug effects. Cell Division / radiation effects. Cell Line, Tumor. Cyclin B / metabolism. Cyclin B1. G2 Phase / drug effects. G2 Phase / radiation effects. Humans. RNA, Messenger / metabolism. Steroids / pharmacology. Tumor Suppressor Protein p53 / genetics

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  • (PMID = 18509009.001).
  • [ISSN] 1351-0088
  • [Journal-full-title] Endocrine-related cancer
  • [ISO-abbreviation] Endocr. Relat. Cancer
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Antineoplastic Agents, Hormonal; 0 / CCNB1 protein, human; 0 / Cyclin B; 0 / Cyclin B1; 0 / RNA, Messenger; 0 / Steroids; 0 / Tumor Suppressor Protein p53; 78E4J5IB5J / Mitotane; EC 2.7.11.22 / CDC2 Protein Kinase
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53. Liang YY, Dai YP, Cao MX, Zheng KL: [Diagnosis and therapy of metastatic tumors in the adrenal gland--a report of 21 cases]. Ai Zheng; 2006 Oct;25(10):1275-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Diagnosis and therapy of metastatic tumors in the adrenal gland--a report of 21 cases].
  • BACKGROUND & OBJECTIVE: Recently, the occurrence of metastasis to the adrenal gland is increasing, while the early and differentiated diagnosis still remains difficult.
  • Whether metastasis to the adrenal gland needs to be resected and when and how the resection should be done are controversial.
  • This study was to explore the surgical indications of metastasis to the adrenal gland and the role of laparoscopic adrenalectomy in the treatment of this disease.
  • METHODS: Clinical data of 21 patients with metastatic tumors in the adrenal gland, treated in Cancer Center of Sun Yat-sen University from Mar.
  • Literature of the diagnosis and therapy was reviewed.
  • RESULTS: The diagnosis rates of ultrasonography and spiral or thin-cut computed tomography (CT) were 70.0% (7/10) and 84.6% (11/13).
  • CONCLUSIONS: Ultrasonography and CT are important diagnosis methods for metastatic adrenal cancer.
  • No evidence of tumor invasion revealed by preoperative imaging studies, no adjacent lymphadenopathy and no extraladrenal metastasis are indications of adrenalectomy.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenal Gland Neoplasms / ultrasonography. Adrenalectomy / methods. Laparoscopy

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  • (PMID = 17059775.001).
  • [Journal-full-title] Ai zheng = Aizheng = Chinese journal of cancer
  • [ISO-abbreviation] Ai Zheng
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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54. Arvanitis LD, Pitelka LA, Gattuso P: Adrenocortical carcinoma presenting with a peritoneal effusion. Diagn Cytopathol; 2010 Jul;38(7):514-6
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  • In this report, we describe the fine-needle aspiration findings of a case of adrenocortical carcinoma (ACC) that spread to the peritoneal cavity in an 80-year-old female.
  • Although ACC is the most common malignant neoplasm of the adrenal gland, its metastatic spread to the peritoneal cavity is exceptionally unusual.

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  • [Copyright] (c) 2009 Wiley-Liss, Inc.
  • (PMID = 19941369.001).
  • [ISSN] 1097-0339
  • [Journal-full-title] Diagnostic cytopathology
  • [ISO-abbreviation] Diagn. Cytopathol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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55. Komissarenko IV, Rybakov SI, Kvacheniuk AN, Lazar' SI, Fedorova TI, Kovalenko AE, Mel'nik ND, Negrienko KV: [Using magnetic-resonance tomography in differential diagnosis of the adrenal glands malignant tumors]. Klin Khir; 2005 Oct;(10):47-50
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  • [Title] [Using magnetic-resonance tomography in differential diagnosis of the adrenal glands malignant tumors].
  • Possibilities of application of magnet-resonance tomography (MRT) for differential diagnosis of the adrenal glands tumors were studied up.
  • MRT was conducted to 39 patients with adrenal glands tumors, including 22 - with malignant adrenal gland tumor, 17 - with benign tumor of adrenal gland.
  • MRT constitutes the most effective method of topic diagnosis of the adrenal glands tumor, owes multipurpose possibilities, do not deliver radiation load, permits to visualize the vessels without the contrast media usage.
  • The tumor diameter more than 10,1 cm, irregular form, illegible edges, uneven contours, presence of lymphadenopathy, regional or remote metastases constitutes diagnostic criterions of the adrenal glands malignant tumors.
  • The intensity of MRT signal could not be used for differential diagnosis of malignant and benign tumors of adrenal glands.

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  • (PMID = 16509086.001).
  • [ISSN] 0023-2130
  • [Journal-full-title] Klinichna khirurhiia
  • [ISO-abbreviation] Klin Khir
  • [Language] RUS
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Ukraine
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56. Cavlan D, Bharwani N, Grossman A: Androgen- and estrogen-secreting adrenal cancers. Semin Oncol; 2010 Dec;37(6):638-48
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  • [Title] Androgen- and estrogen-secreting adrenal cancers.
  • Androgen-secreting adrenal cancers are extremely rare malignancies, accounting for only a tiny proportion of the total number of women presenting with signs of androgen excess.
  • Estrogen-secreting adrenal cancers are rarer still.
  • Understanding how these tumors work benefits from an appreciation of adrenal steroid biosynthesis, as it is said that secretion in cancers is an anarchic version of normal adrenal function.
  • Selection of patients in whom we should have a high suspicion of a malignancy is vital, so that biochemical investigation and imaging is deployed appropriately.
  • When an adrenal tumor is found to secrete androgens or estrogens to excess, it can be difficult to confirm that it is a cancer, as there is significant overlap in the secretory patterns and imaging appearances of benign and malignant disease.
  • The most reliable indicator of malignancy in these tumors remains the presence of metastases.
  • [MeSH-major] Adrenal Gland Neoplasms / secretion. Androgens / secretion. Estrogens / secretion
  • [MeSH-minor] Adrenalectomy. Adrenocortical Carcinoma / diagnosis. Adrenocortical Carcinoma / secretion. Adrenocortical Carcinoma / therapy. Adult. Algorithms. Antineoplastic Agents, Hormonal / therapeutic use. Child. Diagnostic Imaging / methods. Female. Humans. Mitotane / therapeutic use. Prognosis. Virilism / etiology

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  • [Copyright] Copyright © 2010 Elsevier Inc. All rights reserved.
  • (PMID = 21167382.001).
  • [ISSN] 1532-8708
  • [Journal-full-title] Seminars in oncology
  • [ISO-abbreviation] Semin. Oncol.
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Androgens; 0 / Antineoplastic Agents, Hormonal; 0 / Estrogens; 78E4J5IB5J / Mitotane
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57. Knüttgen D, Wappler F: [Anaesthesia for patients with phaeochromocytoma - specifics, potential complications and drug strategies]. Anasthesiol Intensivmed Notfallmed Schmerzther; 2008 Jan;43(1):20-7; quiz 28
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  • Removal of a malignant tumour of the adrenal gland may induce massive haemorrhage, and thus anaesthetic management has to be modified.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Anesthesia / methods. Arrhythmias, Cardiac / prevention & control. Hypertension / prevention & control. Nitroprusside / administration & dosage. Phenoxybenzamine / administration & dosage. Pheochromocytoma / surgery. Postoperative Complications / prevention & control


58. Coulter CL: Fetal adrenal development: insight gained from adrenal tumors. Trends Endocrinol Metab; 2005 Jul;16(5):235-42
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Fetal adrenal development: insight gained from adrenal tumors.
  • Conversely, tumor progression and the development of cancer probably occur through a process of dysregulation and dedifferentiation.
  • Similarities exist between normal human fetal adrenal cortex and adrenal cancers, such as high expression of growth factors, including insulin-like growth factor II.
  • This review is prompted by recent gene profiling studies that have identified genes differentially expressed between normal and abnormal adrenal glands.
  • Several of these genes are specific growth factors or key cell cycle regulators, in addition to genes not previously associated with adrenal growth or function.
  • [MeSH-major] Adrenal Gland Neoplasms / pathology. Adrenal Glands / embryology

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  • (PMID = 15949953.001).
  • [ISSN] 1043-2760
  • [Journal-full-title] Trends in endocrinology and metabolism: TEM
  • [ISO-abbreviation] Trends Endocrinol. Metab.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Somatomedins
  • [Number-of-references] 62
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59. Crand A, Borson-Chazot F, Brue T: [Recent data in adrenocortical tumorigenesis]. Ann Endocrinol (Paris); 2009 Sep;70 Suppl 1:S20-5

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  • [Transliterated title] Actualités dans la tumorigenèse surrénalienne.
  • Until now, surgery is the only curative treatment for tumors confined to the adrenal gland and there is a lack of an effective medical treatment for invasive or metastatic tumors due to the poor knowledge of the mechanisms underlying adrenocortical malignancy.
  • Moreover, histopathology is sometimes insufficient to establish an accurate diagnosis between a benign and a malignant adrenal tumor and a poor indicator of prognosis.
  • In the last decade, the study of rare genetic syndromes associated with adrenocortical carcinomas and the identification of genetic alterations in adrenal tumors has improved our understanding of the pathogenesis of adrenal tumors.
  • The development of molecular predictors of malignancy and of survival could help for histological diagnosis and determination of prognosis.
  • [MeSH-major] Adrenal Cortex Neoplasms / etiology
  • [MeSH-minor] Biomarkers, Tumor. Humans. Prognosis

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  • (PMID = 19878765.001).
  • [ISSN] 0003-4266
  • [Journal-full-title] Annales d'endocrinologie
  • [ISO-abbreviation] Ann. Endocrinol. (Paris)
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] France
  • [Chemical-registry-number] 0 / Biomarkers, Tumor
  • [Number-of-references] 34
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60. Sfaxi M, Bouzouita A, Bouasker I, Kourda N, Ben Slama MR, Ben Jilani Baltaji S, Chebil M: [Primary bilateral adrenal T-cell lymphoma. A case report rarer than B-cell lymphoma]. Ann Endocrinol (Paris); 2008 Jun;69(3):249-53
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  • [Title] [Primary bilateral adrenal T-cell lymphoma. A case report rarer than B-cell lymphoma].
  • [Transliterated title] Lymphome surrénalien primitif bilatéral de phénotype T. Un cas clinique beaucoup plus rare que le lymphome B.
  • Primary adrenal lymphoma is a rare condition.
  • Adrenal lymphoma is often bilateral and in most of the cases of B-cell type.
  • The prognosis is bad and patient can die early because of acute adrenal insufficiency.
  • We report a case of a 70-year-old man who was admitted for acute adrenal insufficiency due to primary bilateral adrenal T-cell lymphoma.
  • Clinical features and imaging are not specific. (18)F-FDG PET Scan is an excellent mean to detect malignant tumor of adrenal gland.
  • [MeSH-major] Adrenal Gland Neoplasms / radionuclide imaging. Lymphoma, T-Cell / radionuclide imaging

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  • (PMID = 18455145.001).
  • [ISSN] 0003-4266
  • [Journal-full-title] Annales d'endocrinologie
  • [ISO-abbreviation] Ann. Endocrinol. (Paris)
  • [Language] fre
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] France
  • [Chemical-registry-number] 0 / Radiopharmaceuticals; 0Z5B2CJX4D / Fluorodeoxyglucose F18
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61. Knüttgen D, Wappler F: [Anaesthesia for patients with adrenal gland diseases]. Anasthesiol Intensivmed Notfallmed Schmerzther; 2007 Mar;42(3):170-8
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  • [Title] [Anaesthesia for patients with adrenal gland diseases].
  • [Transliterated title] Anästhesie bei Erkrankungen der Nebennierenrinde--Effizientes Risikomanagement von der Prämedikation bis zum Aufwachraum.
  • Perioperative management of patients with adrenal gland diseases requires detailed information on the individual endocrine status and the potential complications.
  • Addison's disease, after removal of a cortisol producing tumour or as the result of long-term therapy with glucocorticoids) consequent perioperative supplementation of hydrocortisone is mandatory.
  • Removal of a malignant tumour of the adrenal gland may induce massive haemorrhage, and thus anaesthetic management has to be modified.
  • [MeSH-major] Adrenal Gland Diseases / complications. Adrenal Gland Diseases / surgery. Intraoperative Complications / prevention & control

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  • (PMID = 17366436.001).
  • [ISSN] 1439-1074
  • [Journal-full-title] Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
  • [ISO-abbreviation] Anasthesiol Intensivmed Notfallmed Schmerzther
  • [Language] ger
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Androgens; 0 / Estrogens; 0 / Glucocorticoids; 0 / Mineralocorticoids
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62. Mohammad K, Sadikot RT: Adrenal insufficiency as a presenting manifestation of nonsmall cell lung cancer. South Med J; 2009 Jun;102(6):665-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Adrenal insufficiency as a presenting manifestation of nonsmall cell lung cancer.
  • The adrenals are a common site of metastases for lung cancers; adrenal insufficiency, however, as a presenting feature of lung cancer, is extremely rare.
  • We report a case of primary adrenal insufficiency secondary to metastases from adenocarcinoma of the lung.
  • CT scans showed a right upper lobe mass and bilateral adrenal masses.
  • The frequent occurrence of constitutional symptoms, metabolic derangements, and cardiovascular compromise in patients with advanced cancer may lead to an underestimation of the true incidence of adrenal insufficiency in this population.
  • [MeSH-major] Adrenal Gland Neoplasms / secondary. Adrenal Insufficiency / etiology. Carcinoma, Non-Small-Cell Lung / pathology. Lung Neoplasms / pathology
  • [MeSH-minor] Humans. Hydrocortisone / blood. Male. Middle Aged. Neoplasm Metastasis


63. Han SJ, Kim TS, Jeon SW, Jeong SJ, Yun M, Rhee Y, Kang ES, Cha BS, Lee EJ, Lee HC, Lim SK: Analysis of adrenal masses by 18F-FDG positron emission tomography scanning. Int J Clin Pract; 2007 May;61(5):802-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Analysis of adrenal masses by 18F-FDG positron emission tomography scanning.
  • This study aimed to analyse the characteristics of adrenal masses visible in the computerised tomography (CT) scans which have been also evaluated by 2-[18F]fluoro-2-deoxy-D-glucose positron emission tomography (18F-FDG PET), and to characterise the features of 18F-FDG PET scans associated with various adrenal endocrine tumours, especially benign functional tumours.
  • 18F-FDG PET scans of 105 patients with adrenal masses on the CT scan were analysed.
  • Positive uptakes in the 18F-FDG PET scans were seen in 60 malignant tumours (54 metastasic lesions, six primary adrenal cancers) and seven benign tumours.
  • The positive predictive value of 18F-FDG PET imaging to characterise an adrenal mass as a malignant tumour was 90%; the corresponding negative predictive value to rule out malignancy was also 90%.
  • Benign adrenal tumours were smaller than that of malignant lesions (p<0.05).
  • The mean standardised uptake value max (SUVmax) of the metastatic lesions [8.4+/-6.5 (microCi/g)/microCi/kg] was significantly higher than that of the benign adrenal tumours [2.4+/-1.2 (microCi/g)/microCi/kg, p<0.001].
  • Examination of only the primary adrenal lesions revealed that all adrenocortical carcinomas, two of three cases of pheochromocytomas, three of five neuroblastomas and two of four cases of primary aldosteronism showed positive 18F-FDG uptake.
  • In conclusion, for patients presenting adrenal masses with a high probability of malignancy, 18F-FDG PET can be used to differentiate malignant from benign adrenal lesions.
  • This study suggests that 18F-FDG PET scanning can offer supporting data to localise and characterise adrenal tumours.
  • [MeSH-major] Adrenal Gland Neoplasms / radionuclide imaging. Fluorodeoxyglucose F18. Positron-Emission Tomography / methods. Radiopharmaceuticals

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  • (PMID = 17343665.001).
  • [ISSN] 1368-5031
  • [Journal-full-title] International journal of clinical practice
  • [ISO-abbreviation] Int. J. Clin. Pract.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Radiopharmaceuticals; 0Z5B2CJX4D / Fluorodeoxyglucose F18
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64. Winczyk K: [The role of peroxisome proliferators-activated receptors (PPARgamma) in neoplasms of endocrine glands]. Endokrynol Pol; 2008 Mar-Apr;59(2):156-66
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  • [Title] [The role of peroxisome proliferators-activated receptors (PPARgamma) in neoplasms of endocrine glands].
  • PPARgamma take part in many processes such as adipogenesis, glucose and lipid metabolism, atherosclerosis and inflammation and carcinogenesis.
  • The expression of PPARgamma was detected in normal and tumor cells of endocrine glands.
  • The reports about oncostatic effects of PPARgamma agonists in pituitary adenomas, thyroid cancers and adrenal tumor are reviewed.
  • [MeSH-major] Adrenal Gland Neoplasms / genetics. Gene Expression Regulation, Neoplastic. PPAR gamma / metabolism. Pituitary Neoplasms / genetics. Thyroid Neoplasms / genetics

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  • (PMID = 18465691.001).
  • [ISSN] 0423-104X
  • [Journal-full-title] Endokrynologia Polska
  • [ISO-abbreviation] Endokrynol Pol
  • [Language] pol
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] Poland
  • [Chemical-registry-number] 0 / PPAR gamma
  • [Number-of-references] 135
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65. Srivastava M, Torosyan Y, Raffeld M, Eidelman O, Pollard HB, Bubendorf L: ANXA7 expression represents hormone-relevant tumor suppression in different cancers. Int J Cancer; 2007 Dec 15;121(12):2628-36
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] ANXA7 expression represents hormone-relevant tumor suppression in different cancers.
  • Tumor suppressor function of ubiquitously expressed Annexin-A7, ANXA7 (10q21) that is involved in exocytosis and membrane fusion was based on cancer prone phenotype in Anxa7(+/-) mice as well as ANXA7 role in human prostate and breast cancers.
  • To clarify ANXA7 biomarker and tumor suppressor function, we analyzed its expression pattern in comparison to the prostate-specific biomarker NKX3.1.
  • Although some metastases retained relatively high ANXA7 rates compared to primary cancer tissues, the lymph node metastases from different sites (including prostate and breast) had decreased ANXA7 expression in comparison to the intact lymphatic tissues.
  • ANXA7 and NKX3.1 proteins were synexpressed in the male urogenital system and adrenal gland.
  • Gene expression profiling in prostate and breast cancers (SMD) revealed distinct hormone-related profiles for NKX3.1 and ANXA7, where ANXA7 expression correlated with steroid sulfatase which has a pivotal role in steroidogenesis.
  • Abundant protein presence in adrenal gland and its loss in hormone-refractory prostate cancer indicated that ANXA7 can be relevant to steroidogenesis and androgen sensitivity in particular.
  • With tumor suppressor pattern validated in different tumors, ANXA7 can be an attractive diagnostic and therapeutic target associated with the hormone and/or neurotransmitter-mediated modulation of tumorigenesis.
  • [MeSH-major] Annexin A7 / analysis. Biomarkers, Tumor / analysis. Breast Neoplasms / chemistry. Breast Neoplasms / pathology. Neoplasms, Hormone-Dependent / chemistry. Neoplasms, Hormone-Dependent / pathology. Prostatic Neoplasms / chemistry. Prostatic Neoplasms / pathology
  • [MeSH-minor] Animals. Down-Regulation. Female. Gene Expression Profiling. Gene Expression Regulation, Neoplastic. Homeodomain Proteins / analysis. Humans. Immunohistochemistry. Lymphatic Metastasis. Male. Mice. Neoplasm Invasiveness. Protein Array Analysis. Tissue Array Analysis. Transcription Factors / analysis

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  • [Copyright] (c) 2007 Wiley-Liss, Inc.
  • (PMID = 17708571.001).
  • [ISSN] 1097-0215
  • [Journal-full-title] International journal of cancer
  • [ISO-abbreviation] Int. J. Cancer
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, U.S. Gov't, Non-P.H.S.
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Annexin A7; 0 / Anxa7 protein, mouse; 0 / Biomarkers, Tumor; 0 / Homeodomain Proteins; 0 / NKX3-1 protein, human; 0 / Nkx3-1 protein, mouse; 0 / Transcription Factors
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66. Bruhn AM, Hyams ES, Stifelman MD: Laparoscopic and robotic assisted adrenal surgery. Minerva Urol Nefrol; 2010 Sep;62(3):305-18
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Laparoscopic and robotic assisted adrenal surgery.
  • The aim of this paper is to review the current state of laparoscopic and robotic surgery in the mannagement of benign and malignant disease of the adrenal gland.
  • Adrenal lesions can be adenomas, pheochromocytomas, myelolipomas, ganglioneuromas, adrenal cysts, hematomas, adrenal cortical carcinomas, metastases from other cancers, or other rare causes.
  • Laparoscopic adrenalectomy (LA) has become the new standard of care for benign adrenal neoplasms and is being increasingly utilized for malignant disease.
  • Robotic assistance offers unique advantages in visualizing and dissecting the adrenal gland, especially considering its challenging vasculature.
  • Series of robotic adrenalectomy (RA) and LA show that techniques are both safe and effective compared to open.
  • There is also growing evidence in using minimally invasive approaches in adrenal sparing-surgery.
  • Success in these procedures depends on a firm understanding of adrenal anatomy and in careful patient selection.
  • Both LA and RA are offer advantages to patients and are comparable in outcomes.
  • While LA remains the standard of care, RA is an excellent option in high volume robotic centers from standpoints of outcomes, feasibility, and cost.

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  • (PMID = 20940699.001).
  • [ISSN] 0393-2249
  • [Journal-full-title] Minerva urologica e nefrologica = The Italian journal of urology and nephrology
  • [ISO-abbreviation] Minerva Urol Nefrol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Italy
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67. Kapella M, Genet D, Pech De Laclause B, Durand-Fontanier S, Lachachi M, Fabre A, Valleix D, Descottes B: [Adrenal metastasis: survival following surgical resection]. J Chir (Paris); 2008 Jul-Aug;145(4):346-9
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  • [Title] [Adrenal metastasis: survival following surgical resection].
  • GOAL: This study aims to determine the post-surgical survival after resection of adrenal metastasis from extra-adrenal primary cancers.
  • PATIENTS AND METHODS: A retrospective study of sixteen patients undergoing surgery for adrenal metastasis between 1995 and 2005 analyzed age, type of primary cancer, interval to detection of adrenal metastasis, type of surgery performed, and survival (Kaplan-Meier curve).
  • Adrenal metastasis causes no clinical signs or symptoms.
  • Diagnosis was made on the basis of CT scan in 12 cases and PET scan in 4 cases.
  • The primary cancer site was lung (6), kidney (3), melanoma (2), colorectum (2), esophagus (1), pancreas (1), and B-cell lymphoma (1).
  • Metastasis was confined to the adrenal in 7 cases and associated with other-site metastasis in 9.
  • The interval from diagnosis of the primary cancer to detection of the adrenal metastasis ranged from 9 months to 11 years.
  • The overall survival was 12 months (range 2-120 months); when the diagnosis of the metastasis was synchronous with that of the primary, survival was just 8 months.
  • CONCLUSION: The survival after surgery for adrenal metastasis is poor; it is even more dismal when the metastasis is diagnosed synchronously with the primary tumor.
  • Surgical management depends on the primary neoplasm and the extent of metastases.
  • [MeSH-major] Adenocarcinoma / secondary. Adenocarcinoma / surgery. Adrenal Gland Neoplasms / secondary. Adrenal Gland Neoplasms / surgery

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  • (PMID = 18955925.001).
  • [ISSN] 0021-7697
  • [Journal-full-title] Journal de chirurgie
  • [ISO-abbreviation] J Chir (Paris)
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] France
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68. Przybylik-Mazurek E, Darczuk A, Huszno B, Budzyński A, Rembiasz K, Gałazka K, Wierzchowski W, Giza A, Jurczak W, Skotnicki AB, Sztuk S, Urbanik A: [Primary adrenal lymphoma in incidentally discovered adrenal tumour]. Przegl Lek; 2006;63(8):701-5
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  • [Title] [Primary adrenal lymphoma in incidentally discovered adrenal tumour].
  • The new imaging techniques used during the last several years: ultrasound, computed tomography and magnetic resonance imaging have improved detection of non-functional adrenal tumours s.c. "incidentaloma".
  • Incidence of adrenal incidentaloma is not very low.
  • In most of cases incidentaloma are benign and gave no clinical signs; however primary adrenal cortex cancer and metastases of different cancers are not uncommon.
  • The primary adrenal lymphoma is an extremely rare disease.
  • Most frequently both adrenal glands are affected and signs of adrenal insufficiency (despite weakness, fever and loss of weight) are present.
  • Hormonal examinations were normal, but the tumour size was indication for surgery treatment.
  • The diagnosis was made by histological examination and adjuvant chemotherapy was administrated.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Adrenal Gland Neoplasms / surgery. Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Lymphoma, Non-Hodgkin / diagnosis. Lymphoma, Non-Hodgkin / surgery

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  • (PMID = 17441388.001).
  • [ISSN] 0033-2240
  • [Journal-full-title] Przegla̧d lekarski
  • [ISO-abbreviation] Prz. Lek.
  • [Language] pol
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Poland
  • [Chemical-registry-number] 0 / Antibodies, Monoclonal; 0 / Antibodies, Monoclonal, Murine-Derived; 4F4X42SYQ6 / Rituximab; 5J49Q6B70F / Vincristine; 8N3DW7272P / Cyclophosphamide
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69. Gross MD, Gauger PG, Djekidel M, Rubello D: The role of PET in the surgical approach to adrenal disease. Eur J Surg Oncol; 2009 Nov;35(11):1137-45
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The role of PET in the surgical approach to adrenal disease.
  • BACKGROUND: Appropriate surgical approach to diseases of the adrenal requires a diagnosis sufficient to determine the biochemical status of adrenal dysfunction and anatomic evaluation sufficient to differentiate unilateral from bilateral disease, intra-adrenal from extra-adrenal neoplasm, adrenal tumor recurrence or adrenal metastases.
  • High resolution computed tomography (CT) and magnetic resonance have been the primary imaging modalities for the evaluation of anatomy, while scintigraphic studies have played a secondary role in diagnosis.
  • The recent availability of functional imaging provided by positron emission tomography (PET) with radiopharmaceuticals designed to depict substrate precursor uptake, cellular metabolism or receptor binding in neoplasms and CT as a single modality, hybrid PET/CT, to directly correlate function and anatomy has had a significant impact upon the diagnostic and therapeutic approach to many cancers and has been applied to adrenal disease with some early success that we describe in this review.
  • METHODS: In addition to the authors' experience, a search of Medline and PubMed databases was performed using search terms: 'adrenal scintigraphy', 'positron tomography', 'computed tomography', 'adrenal surgery', 'adrenal mass', '(18)F-fluorodeoxyglucose', 'adrenal carcinoma', 'adrenal medulla' and 'pheochromocytoma'.
  • CONCLUSIONS: Present PET radiopharmaceuticals and their use in hybrid PET/CT have demonstrated efficacy in the preoperative and follow-up evaluation of neoplasms of the adrenal cortex and medulla that hopefully will continue to improve with the development of newer tracers that continue to exploit unusual characteristics of the adrenals.
  • [MeSH-major] Adrenal Gland Neoplasms / radionuclide imaging. Adrenal Gland Neoplasms / surgery. Radiopharmaceuticals. Tomography, Emission-Computed
  • [MeSH-minor] Diagnosis, Differential. Humans. Tomography, X-Ray Computed

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  • (PMID = 19243910.001).
  • [ISSN] 1532-2157
  • [Journal-full-title] European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
  • [ISO-abbreviation] Eur J Surg Oncol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Radiopharmaceuticals
  • [Number-of-references] 75
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70. Taub YR, Wolford RW: Adrenal insufficiency and other adrenal oncologic emergencies. Emerg Med Clin North Am; 2009 May;27(2):271-82
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Adrenal insufficiency and other adrenal oncologic emergencies.
  • Normal function of the adrenal gland can be disrupted not only by metastases of nonadrenal cancers but also by their treatment.
  • In addition, tumors of the adrenal gland itself can cause disease by hypersecretion of a variety of hormones, adrenal gland destruction with inadequate production of cortisol, and by metastasis to other sites.
  • Although rare, abnormal adrenal function should be considered in the appropriate clinical settings as failure to recognize and treat can result in significant morbidity and mortality.
  • The adrenal "incidentaloma" is a frequent finding of abdominal radiologic studies.
  • All patients with an unexpected adrenal mass should be referred for further evaluation.
  • [MeSH-major] Adrenal Gland Neoplasms / complications. Adrenal Insufficiency. Pituitary Neoplasms / complications
  • [MeSH-minor] Emergencies. Fluid Therapy. Humans. Hydrocortisone / therapeutic use. Hypothalamo-Hypophyseal System / physiology. Mineralocorticoids / therapeutic use. Pituitary-Adrenal System / physiology

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  • (PMID = 19447311.001).
  • [ISSN] 1558-0539
  • [Journal-full-title] Emergency medicine clinics of North America
  • [ISO-abbreviation] Emerg. Med. Clin. North Am.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Mineralocorticoids; WI4X0X7BPJ / Hydrocortisone
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71. Mercier O, Fadel E, Mussot S, Fabre D, Chataigner O, Chapelier A, Dartevelle P: [Is surgery required for patients with isolated adrenal metastasis of non-small cell lung carcinoma?]. Presse Med; 2007 Dec;36(12 Pt 1):1743-52
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  • [Title] [Is surgery required for patients with isolated adrenal metastasis of non-small cell lung carcinoma?].
  • [Transliterated title] Faut-il opérer les métastases surrénaliennes isolées des cancers bronchopulmonaires non à petites cellules?
  • BACKGROUND: No consensus yet governs management of solitary adrenal metastasis of non-small cell lung cancer (NSCLC).
  • METHODS: From January 1989 through June 2006, 26 patients (21 men and 5 women; mean age: 54+/-10 years) underwent complete resection of an isolated adrenal metastasis after surgical treatment of NSCLC.
  • The adrenal metastasis was diagnosed at the same time as the NSCLC in 6 patients and subsequently in 20 patients.
  • After resection of an isolated adrenal metastasis diagnosed more than 6 months after lung resection, the 5-year survival rate was 49%.
  • CONCLUSION: Surgical resection of subsequent isolated adrenal metastasis with a disease-free interval longer than 6 months can lead to long-term survival in patients with previous complete resection of the primary NSCLC.
  • [MeSH-major] Adrenal Gland Neoplasms / secondary. Adrenal Gland Neoplasms / surgery. Carcinoma, Non-Small-Cell Lung / secondary. Carcinoma, Non-Small-Cell Lung / surgery. Lung Neoplasms / surgery
  • [MeSH-minor] Adult. Aged. Data Interpretation, Statistical. Disease-Free Survival. Female. Humans. Kaplan-Meier Estimate. Male. Middle Aged. Neoadjuvant Therapy. Neoplasm Recurrence, Local. Patient Selection. Radiography, Abdominal. Time Factors. Tomography, X-Ray Computed

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  • (PMID = 17851028.001).
  • [ISSN] 0755-4982
  • [Journal-full-title] Presse medicale (Paris, France : 1983)
  • [ISO-abbreviation] Presse Med
  • [Language] fre
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] France
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72. Jurczyńska J, Zieleniewski W, Stepień H, Komorowski J: Angiogenic and anti-angiogenic factors in adrenal tumours. Endokrynol Pol; 2006 Nov-Dec;57(6):633-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Angiogenic and anti-angiogenic factors in adrenal tumours.
  • It appears that neoangiogenesis is an important factor in tumour invasion and the formation of metastases in several human cancers, and studies on pro-angiogenic and antiangiogenic factors are therefore of considerable interest to researchers.
  • In this review we present pro-angiogenic and anti-angiogenic factors and other growth factors and their role in the formation of new blood vessels in adrenal tumours.
  • Assessment of the angiogenic status of adrenal tumours and their vascular pattern may be useful for discriminating benign from malignant lesions and knowledge of their angiogenesis may be essential to the drawing up of promising treatment strategies for patients with malignant tumours.
  • [MeSH-major] Adrenal Gland Neoplasms / physiopathology. Adrenal Glands / blood supply. Angiogenesis Inducing Agents / metabolism. Angiogenesis Inhibitors / metabolism

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  • (PMID = 17253437.001).
  • [ISSN] 0423-104X
  • [Journal-full-title] Endokrynologia Polska
  • [ISO-abbreviation] Endokrynol Pol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Poland
  • [Chemical-registry-number] 0 / Angiogenesis Inducing Agents; 0 / Angiogenesis Inhibitors
  • [Number-of-references] 69
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73. Kim HY, Kim SG, Lee KW, Seo JA, Kim NH, Choi KM, Baik SH, Choi DS: Clinical study of adrenal incidentaloma in Korea. Korean J Intern Med; 2005 Dec;20(4):303-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Clinical study of adrenal incidentaloma in Korea.
  • BACKGROUND: This study was designed to evaluate the clinical, endocrinological and histological characteristics of adrenal incidentalomas.
  • METHODS: Eighty patients (41, males; 38, females; age range 17-80 years) who were diagnosed with adrenal incidentaloma at Korea University Hospital from 1992 to 2003 were studied retrospectively.
  • Pathologic examination revealed 16 adrenocortical adenomas (20%), five carcinomas (6%), 13 pheochromocytomas (16%), three metastatic cancers (4%), and other tumors (10%).
  • According to the receiver operating charactenstic (ROC) curve analysis, the cut-off value of tumor size for discriminate malignant tumor was 4.75 cm (sensitivity 90%, specificity 58%).
  • During the follow up period, two patients showed an increase in tumor size of more than 1 cm, and one patient developed Cushing's syndrome.
  • Changes in mass size and function were observed only between 10 and 26 months after the initial diagnosis.
  • CONCLUSIONS: These data show that an endocrine evaluation should be performed in all adrenal incidentalomas, and an adrenalectomy is recommended for tumors 5 cm or greater or tumors with adrenocortical hyperfunction.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Incidental Findings
  • [MeSH-minor] Adolescent. Adrenocortical Adenoma / diagnosis. Adult. Aged. Aged, 80 and over. Carcinoma / diagnosis. Female. Humans. Korea. Male. Middle Aged. Pheochromocytoma / diagnosis. Retrospective Studies

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  • (PMID = 16491828.001).
  • [ISSN] 1226-3303
  • [Journal-full-title] The Korean journal of internal medicine
  • [ISO-abbreviation] Korean J. Intern. Med.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC3891076
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74. Acar C, Akkas BE, Sen I, Sozen S, Kitapci MT: False positive 18F-FDG PET scan in adrenal oncocytoma. Urol Int; 2008;80(4):444-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] False positive 18F-FDG PET scan in adrenal oncocytoma.
  • 18F-FDG whole-body positron emulsion tomography (18F-FDG PET) has become an established imaging modality for a variety of cancers.
  • Today, 18F-FDG PET is utilized to differentiate benign from malignant non-functioning adrenal masses.
  • Abdominal CT revealed a left 6.5 x 4.5 cm adrenal mass with regular margins and focal calcification.
  • To make a differential diagnosis, 18F-FDG PET was performed.
  • The final pathologic evaluation revealed adrenal oncocytoma.
  • We present the disassociation between preoperative 18F-FDG PET and pathologic findings of a benign adrenocortical oncocytoma.
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Adenoma, Oxyphilic / radionuclide imaging. Adrenal Gland Neoplasms / pathology. Adrenal Gland Neoplasms / radionuclide imaging. Positron-Emission Tomography / methods
  • [MeSH-minor] Adrenalectomy / methods. Adult. Diagnosis, Differential. False Positive Reactions. Female. Fluorodeoxyglucose F18. Follow-Up Studies. Humans. Immunohistochemistry. Neoplasm Staging. Preoperative Care / methods. Treatment Outcome

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  • [Copyright] 2008 S. Karger AG, Basel.
  • (PMID = 18587259.001).
  • [ISSN] 1423-0399
  • [Journal-full-title] Urologia internationalis
  • [ISO-abbreviation] Urol. Int.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Switzerland
  • [Chemical-registry-number] 0Z5B2CJX4D / Fluorodeoxyglucose F18
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75. Grogan RH, Mitmaker E, Vriens MR, Harari A, Gosnell JE, Shen WT, Clark OH, Duh QY: Adrenal incidentaloma: does an adequate workup rule out surprises? Surgery; 2010 Aug;148(2):392-7
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  • [Title] Adrenal incidentaloma: does an adequate workup rule out surprises?
  • BACKGROUND: Adrenal incidentaloma remains a diagnostic challenge.
  • METHODS: We catalogued adrenal incidentalomas from a retrospective review of 500 consecutive adrenalectomies at a single institution.
  • The outcome measures studied were patient demographics, preoperative biochemical analysis, imaging characteristics, tumor size, type of operation performed, and postoperative histologic diagnosis.
  • Size was the only significant characteristic that distinguished cortical cancers from benign adenomas.
  • CONCLUSION: Current guidelines accurately predict the functional status of adrenal incidentalomas.
  • However, even with the most up-to-date diagnostic tools available, most adrenal incidentalomas resected are benign tumors.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Adrenal Gland Neoplasms / surgery. Adrenalectomy. Incidental Findings
  • [MeSH-minor] Adenoma / diagnosis. Adenoma / pathology. Adenoma / physiopathology. Adenoma / surgery. Adrenal Cortex Hormones / secretion. Adrenal Cortex Neoplasms / diagnosis. Adrenal Cortex Neoplasms / pathology. Adrenal Cortex Neoplasms / physiopathology. Adrenal Cortex Neoplasms / surgery. Adult. Aged. Diagnosis, Differential. Female. Humans. Male. Middle Aged. Practice Guidelines as Topic. Retrospective Studies

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  • [Copyright] Copyright 2010 Mosby, Inc. All rights reserved.
  • (PMID = 20576282.001).
  • [ISSN] 1532-7361
  • [Journal-full-title] Surgery
  • [ISO-abbreviation] Surgery
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Adrenal Cortex Hormones
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76. Murthy SR, Pacak K, Loh YP: Carboxypeptidase E: elevated expression correlated with tumor growth and metastasis in pheochromocytomas and other cancers. Cell Mol Neurobiol; 2010 Nov;30(8):1377-81
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  • [Title] Carboxypeptidase E: elevated expression correlated with tumor growth and metastasis in pheochromocytomas and other cancers.
  • Expression of carboxypeptidase E (CPE), a prohormone processing enzyme in different cancer types, was analyzed from data in the GEO profile database (http://www.ncbi.nlm.nih.gov/geo/) and experimentally in pheochromocytomas.
  • Analysis of microarray data demonstrated that significantly elevated levels of CPE mRNA was found in many metastatic non-endocrine cancers: cervical, colon rectal, renal cancers, Ewing sarcomas (bone cancer), and various types of astrocytomas and oligodendrogliomas, whereas expression of CPE mRNA was virtually absent in their respective counterpart normal tissues.
  • Moreover, there was higher CPE mRNA expression in cells from the metastatic tumor compared to those from the primary tumor in colorectal cancer.
  • However, studies of neuroendocrine tumors, pheochromocytomas, revealed expression of not only wild-type CPE, but a variant which was correlated with tumor behavior.
  • Thus, collectively the data suggest that CPE may play a role in promoting tumor growth and invasion.
  • CPE could potentially serve as a diagnostic and prognostic biomarker for metastasis in different cancer types.
  • [MeSH-major] Adrenal Gland Neoplasms / enzymology. Adrenal Gland Neoplasms / pathology. Carboxypeptidase H / genetics. Gene Expression Regulation, Neoplastic. Pheochromocytoma / enzymology. Pheochromocytoma / pathology
  • [MeSH-minor] Cell Proliferation. Humans. Neoplasm Metastasis

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  • (PMID = 21061162.001).
  • [ISSN] 1573-6830
  • [Journal-full-title] Cellular and molecular neurobiology
  • [ISO-abbreviation] Cell. Mol. Neurobiol.
  • [Language] eng
  • [Grant] United States / Intramural NIH HHS / / ZIA HD008804-03
  • [Publication-type] Journal Article; Research Support, N.I.H., Intramural
  • [Publication-country] United States
  • [Chemical-registry-number] EC 3.4.17.10 / Carboxypeptidase H
  • [Other-IDs] NLM/ NIHMS230055; NLM/ PMC3057539
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77. Owecki M, Majewska KA, Stawny B, Nikisch E, Drews M, Sowiński J: [Adrenal tumours in a selected 10-years surgical material]. Pol Merkur Lekarski; 2006 Jun;20(120):678-81
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  • [Title] [Adrenal tumours in a selected 10-years surgical material].
  • The aim of the study was to analyze the number and proportions of different adrenal tumours resected during the last 10 years in our centre.
  • In 45 (65.22%) cases the right adrenal was affected, in 21 (30.43%)--the left, in 3 (4.35%)--both.
  • RESULTS: 12 adrenocortical cancers, 20 phaeochromocytomas, 9 cortisol-secreting adenomas, 4 aldosteronomas, 18 hormonally inactive adenomas, 6 miscellaneous tumours were found.
  • Malignant tumours where significantly larger than benign (12.20 +/- 6.81 vs 6.71 +/- 5.62 cm, p < 0.005).
  • We observed no correlation between the age and preoperative tumor size (p = 0.1756), between the age and pathological tumor size (p = 0.3601), and between BMI and the preoperative and histopathologic size (p = 0.4204, and p = 0.6478, respectively).
  • CONCLUSIONS: The most common tumour was phaeochromocytoma.
  • Most tumours where found in the right adrenal.
  • The malignant tumours where larger than benign ones.
  • No correlations between age and BMI, and tumour size where demonstrated.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery
  • [MeSH-minor] Aged. Female. Humans. Magnetic Resonance Imaging. Male. Middle Aged. Neoplasm Staging. Time Factors. Tomography, X-Ray Computed

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  • (PMID = 17007266.001).
  • [ISSN] 1426-9686
  • [Journal-full-title] Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
  • [ISO-abbreviation] Pol. Merkur. Lekarski
  • [Language] pol
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Poland
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78. Sidhu S, Martin E, Gicquel C, Melki J, Clark SJ, Campbell P, Magarey CJ, Schulte KM, Röher HD, Delbridge L, Robinson BG: Mutation and methylation analysis of TP53 in adrenal carcinogenesis. Eur J Surg Oncol; 2005 Jun;31(5):549-54
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  • [Title] Mutation and methylation analysis of TP53 in adrenal carcinogenesis.
  • AIM: To investigate the role of coding region mutation and promoter hypermethylation of TP53 in adrenocortical cancer formation.
  • METHODS: Twenty sporadic adrenocortical cancers (ACCs) and five normal adrenal tissue samples were available for analysis.
  • In 10 ACCs and five normal adrenal tissue specimens, methylation of the 16 CpG sites within the TP53 promoter was examined using bisulphite methylation sequencing.
  • Four of 5 patients with a TP53 mutation had metastases at diagnosis or detected soon thereafter and 3 of 4 died of disease within 12 months of surgical resection.
  • No methylation was seen in the TP53 promoter in 10 ACC and the five normal adrenal tissues examined.
  • Promoter methylation of TP53 is not present in ACC as a mechanism for tumour suppressor gene (TSG) inactivation and, therefore, other genes in the 17p13 region are implicated in adrenal carcinogenesis.
  • [MeSH-major] Adrenal Gland Neoplasms / genetics. Adrenal Gland Neoplasms / metabolism. DNA Methylation. Genes, p53. Mutation. Promoter Regions, Genetic

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  • (PMID = 15922892.001).
  • [ISSN] 0748-7983
  • [Journal-full-title] European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
  • [ISO-abbreviation] Eur J Surg Oncol
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
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79. Pittavini L, De Gaetano A, Solano G, Losito A: Resistant arterial hypertension: association with syncronous kidney cancer and adrenal adenoma. J Nephrol; 2010 Sep-Oct;23(5):614-6
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  • [Title] Resistant arterial hypertension: association with syncronous kidney cancer and adrenal adenoma.
  • The coexistence of renal cancer and adrenal adenoma is rare.
  • We report the case of a 60-year-old patient with synchronous hypernephroma and adrenal adenoma.
  • This suggests that the coexistence of kidney cancer and adrenal adenoma may be a curable cause of resistant hypertension.
  • [MeSH-major] Adenoma / complications. Adrenal Gland Neoplasms / complications. Carcinoma, Renal Cell / complications. Hypertension / etiology. Kidney Neoplasms / complications. Neoplasms, Multiple Primary / complications


80. Hamrahian AH, Ioachimescu AG, Remer EM, Motta-Ramirez G, Bogabathina H, Levin HS, Reddy S, Gill IS, Siperstein A, Bravo EL: Clinical utility of noncontrast computed tomography attenuation value (hounsfield units) to differentiate adrenal adenomas/hyperplasias from nonadenomas: Cleveland Clinic experience. J Clin Endocrinol Metab; 2005 Feb;90(2):871-7
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  • [Title] Clinical utility of noncontrast computed tomography attenuation value (hounsfield units) to differentiate adrenal adenomas/hyperplasias from nonadenomas: Cleveland Clinic experience.
  • Radiological characterization of an adrenal tumor as adenoma may decrease the need for follow-up imaging studies, biopsies, and unnecessary adrenalectomies.
  • We retrospectively reviewed 299 adrenalectomies in 290 patients at Cleveland Clinic Foundation over a recent 5-yr period to assess the value of noncontrast Hounsfield units (HU) in characterizing whether an adrenal mass is adenoma or nonadenoma.
  • The mean (+/- SD) HU value for the adrenocortical adenoma/hyperplasia group was 16.2 +/- 13.6 and significantly lower (P < 0.0001) than primary adrenocortical cancers (36.9 +/- 4.1), metastases (39.2 +/- 15.2), and pheochromocytomas (38.6 +/- 8.2).
  • The size of the adrenal tumor had less value with only 40.7 and 81.3% sensitivity and 94.7 and 61.4% specificity for 2- and 4-cm cutoff values.
  • A combination of less than or equal to 4-cm adrenal mass size and noncontrast computed tomography HU less than or equal to 20 had 42.1% sensitivity and 100% specificity.
  • Our study, the largest with surgical histopathology as the gold standard for diagnosis, supports a noncontrast computed tomography attenuation value of 10 HU as a safe cutoff value to differentiate adrenal adenomas/hyperplasias from nonadenomas.
  • [MeSH-major] Adenoma / radiography. Adrenal Gland Neoplasms / radiography. Adrenocortical Hyperfunction / radiography
  • [MeSH-minor] Adolescent. Adult. Diagnosis, Differential. Female. Humans. Male. Middle Aged. Retrospective Studies. Tomography, X-Ray Computed

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  • (PMID = 15572420.001).
  • [ISSN] 0021-972X
  • [Journal-full-title] The Journal of clinical endocrinology and metabolism
  • [ISO-abbreviation] J. Clin. Endocrinol. Metab.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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81. Stelow EB, Debol SM, Stanley MW, Mallery S, Lai R, Bardales RH: Sampling of the adrenal glands by endoscopic ultrasound-guided fine-needle aspiration. Diagn Cytopathol; 2005 Jul;33(1):26-30
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Sampling of the adrenal glands by endoscopic ultrasound-guided fine-needle aspiration.
  • Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) has proven to be a valuable modality for the primary diagnosis and staging of gastrointestinal, and perigastrointestinal malignancy.
  • Aside from assessing thoracic and abdominal lymph nodes and the liver for metastases, EUS can assess and sample the adrenal glands, which are frequently involved by metastatic disease, but can also harbor benign primary neoplasms.
  • The cytology files at our institution were reviewed for all cases of EUS-guided FNA of the adrenal glands.
  • Results were compared with overall EUS-guided FNA performance and the performance of non-EUS-guided FNA of the adrenal.
  • Between 1/1/00 and 5/15/04 there were 24 cases of EUS-guided FNA of the adrenal gland from 22 different patients (13 men; 9 women) at our institution.
  • This represented 1.4% of overall EUS-guided FNA and 77% of adrenal gland FNA.
  • Most patients had other cancers or mass lesions and were being staged at the time of the procedure (19 of 22).
  • Almost all FNAs were of the left adrenal gland (23 of 24).
  • Final diagnoses were as follows: cortical tissue consistent with cortical adenoma (19), metastatic adenocarcinoma (3), pheochromocytoma (1), and adrenal cortical carcinoma (1).
  • EUS-guided FNA of the adrenal gland is primarily used in the staging of other malignancies when lesions of the left adrenal are recognized sonographically.
  • Diagnostic tissue is easily obtained, including material for cell block IHC, which allows definitive diagnosis in cases that present difficult differential diagnoses.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Adrenal Glands / pathology. Biopsy, Fine-Needle / methods. Endosonography / methods
  • [MeSH-minor] Adenocarcinoma / diagnosis. Adenoma / diagnosis. Adrenocortical Carcinoma / diagnosis. Adult. Aged. Aged, 80 and over. Diagnosis, Differential. Female. Humans. Male. Middle Aged. Pheochromocytoma / diagnosis. Sensitivity and Specificity

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  • [Copyright] 2005 Wiley-Liss, Inc
  • (PMID = 15945088.001).
  • [ISSN] 8755-1039
  • [Journal-full-title] Diagnostic cytopathology
  • [ISO-abbreviation] Diagn. Cytopathol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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82. Mazzaglia PJ, Vezeridis MP: Laparoscopic adrenalectomy: balancing the operative indications with the technical advances. J Surg Oncol; 2010 Jun 15;101(8):739-44
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  • The adoption of this technique had substantial impact on the management of adrenal incidentalomas.
  • Although laparoscopic adrenalectomy should be in general avoided for known primary adrenal cancers, it is appropriate for metastasectomy of isolated adrenal metastatic disease.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Laparoscopy / methods
  • [MeSH-minor] Adrenal Cortex Neoplasms / surgery. Humans. Magnetic Resonance Imaging. Pheochromocytoma / surgery

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  • [Copyright] (c) 2010 Wiley-Liss, Inc.
  • (PMID = 20512951.001).
  • [ISSN] 1096-9098
  • [Journal-full-title] Journal of surgical oncology
  • [ISO-abbreviation] J Surg Oncol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 46
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83. Shen KR, Meyers BF, Larner JM, Jones DR, American College of Chest Physicians: Special treatment issues in lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition). Chest; 2007 Sep;132(3 Suppl):290S-305S
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  • [Title] Special treatment issues in lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition).
  • BACKGROUND: This chapter of the guidelines addresses patients who have particular forms of non-small cell lung cancer that require special considerations.
  • This includes patients with Pancoast tumors, T4N0,1M0 tumors, satellite nodules in the same lobe, synchronous and metachronous multiple primary lung cancers (MPLCs), solitary brain and adrenal metastases, and chest wall involvement.
  • For ensuring that these guidelines were supported by the most current data available, publications that were appropriate to the topics covered in this chapter were obtained by performance of a literature search of the MEDLINE computerized database.
  • Recommendations were developed by the writing committee, graded by a standardized method (see "Methodology for Lung Cancer Evidence Review and Guideline Development" chapter), and reviewed by all members of the lung cancer panel before approval by the Thoracic Oncology NetWork, Health and Science Policy Committee, and the Board of Regents of the American College of Chest Physicians.
  • RESULTS: In patients with a Pancoast tumor, a multimodality approach seems to be optimal, involving chemoradiotherapy and surgical resection, provided appropriate staging has been conducted.
  • Such patients, however, seem to benefit from resection as part of the treatment as opposed to chemoradiotherapy alone when carefully staged and selected.
  • Patients with a satellite lesion in the same lobe as the primary tumor have a good prognosis and require no modification of the approach to evaluation and treatment than what would be dictated by the primary tumor alone.
  • However, it is difficult to know how best to treat patients with a focus of the same type of cancer in a different lobe.
  • Although MPLCs do occur, the survival results after resection for either a synchronous presentation or a metachronous presentation with an interval of < 4 years between tumors are variable and generally poor, suggesting that many of these patients may have had a pulmonary metastasis rather than a second primary lung cancer.
  • A thorough and careful evaluation of these patients is warranted to try to differentiate between patients with a metastasis and a second primary lung cancer, although criteria to distinguish them have not been defined.
  • Selected patients with a solitary focus of metastatic disease in the brain or adrenal gland seem to benefit substantially from resection.
  • [MeSH-major] Carcinoma, Non-Small-Cell Lung / therapy. Lung Neoplasms / therapy. Neoplasms, Multiple Primary / therapy. Pancoast Syndrome / therapy
  • [MeSH-minor] Adrenal Gland Neoplasms / secondary. Adrenal Gland Neoplasms / therapy. Brain Neoplasms / secondary. Brain Neoplasms / therapy. Combined Modality Therapy. Evidence-Based Medicine. Humans. Neoplasm Staging

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  • (PMID = 17873175.001).
  • [ISSN] 0012-3692
  • [Journal-full-title] Chest
  • [ISO-abbreviation] Chest
  • [Language] eng
  • [Publication-type] Journal Article; Practice Guideline
  • [Publication-country] United States
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84. Degraff DJ, Aguiar AA, Sikes RA: Disease evidence for IGFBP-2 as a key player in prostate cancer progression and development of osteosclerotic lesions. Am J Transl Res; 2009 Jan 20;1(2):115-30
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  • [Title] Disease evidence for IGFBP-2 as a key player in prostate cancer progression and development of osteosclerotic lesions.
  • Accumulating evidence indicates that alterations in the IGF axis contribute to the development of chemo- and radio-resistant, advanced-stage cancers.
  • New evidence indicates that the IGFBPs, irrespective of ligand interactions, correlate with the development and metastatic behavior of several cancers.
  • Increased expression of insulin-like growth factor binding protein 2 (IGFBP-2) is found in advanced cancers of the ovary, breast, stomach, adrenal gland, bladder, CNS, and prostate.
  • Further, IGFBP-2 seemingly has ligand-independent effects that participate in the development and dissemination of advanced cancer cells.
  • As such, IGFBP-2 can assist in the development of the lethal phenotype for some cancers.

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  • (PMID = 19956425.001).
  • [ISSN] 1943-8141
  • [Journal-full-title] American journal of translational research
  • [ISO-abbreviation] Am J Transl Res
  • [Language] ENG
  • [Grant] United States / NCRR NIH HHS / RR / P20 RR016472
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC2776314
  • [Keywords] NOTNLM ; Insulin-like growth factor, IGF / androgen insensitivity, AI / androgen sensitive, AS / neoplasm, bone, metastasis / prostate cancer, PCa
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85. Bakthavathsalam G, Shanmugasundaram VP, Prabakaran J, Venkatesh SP, Sowndaravalli DV, Jain CB: Nonfunctioning adrenocorticalcarcinoma. Int Surg; 2008 Mar-Apr;93(2):81-7

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Clinically inapparent adrenal masses detected through imaging for nonadrenal disease, often referred to as adrenal incidentalomas, were first described approximately 20 years ago.
  • Despite the rarity of primary endocrine cancers of the adrenal, adrenal masses are one of the most prevalent of all human tumors.
  • The prevalence of adrenal incidentaloma approaches 3% in middle age and increases to as much as 10% in the elderly.
  • This report describes the case of a 30-year-old man who presented primarily with complaints of deep vein thrombosis of the left leg secondary to a nonfunctioning adrenocortical carcinoma.
  • [MeSH-major] Adrenal Cortex Neoplasms / diagnosis
  • [MeSH-minor] Adult. Humans. Incidental Findings. Male. Venous Thrombosis / diagnosis

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  • (PMID = 18998286.001).
  • [ISSN] 0020-8868
  • [Journal-full-title] International surgery
  • [ISO-abbreviation] Int Surg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Italy
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86. Delaney HM, Prauner RD, Person DA: Germline p53 mutation in a Micronesian child with adrenocortical carcinoma and subsequent osteosarcoma. J Pediatr Hematol Oncol; 2008 Nov;30(11):803-6
NCI CPTC Antibody Characterization Program. NCI CPTC Antibody Characterization Program .

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  • Given this child's remarkable history of malignancy, she underwent testing for a genetic mutation that is associated with increased cancer formation.
  • One such cancer syndrome is called Li-Fraumeni syndrome where approximately 70% of patients carry a genetic mutation in the p53 tumor suppressor gene.
  • Patients with LFS are at risk for developing cancers of the breast, soft tissues, brain, bone, adrenal gland, and blood cells.
  • Mutational analysis of our patient did reveal the presence of a germline mutation of the p53 tumor suppressor gene.
  • [MeSH-major] Adrenal Cortex Neoplasms / genetics. Adrenocortical Carcinoma / genetics. Bone Neoplasms / genetics. Germ-Line Mutation / genetics. Neoplasms, Second Primary / genetics. Osteosarcoma / genetics. Tumor Suppressor Protein p53 / genetics

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  • (PMID = 18989156.001).
  • [ISSN] 1536-3678
  • [Journal-full-title] Journal of pediatric hematology/oncology
  • [ISO-abbreviation] J. Pediatr. Hematol. Oncol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Codon; 0 / Tumor Suppressor Protein p53
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87. Marabelle A, Campagne D, Déchelotte P, Chipponi J, Deméocq F, Kanold J: Focal nodular hyperplasia of the liver in patients previously treated for pediatric neoplastic diseases. J Pediatr Hematol Oncol; 2008 Jul;30(7):546-9
ClinicalTrials.gov. clinical trials - ClinicalTrials.gov .

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • SUMMARY: The discovery of a liver nodule during postcancer follow-up suggests malignancy recurrence.
  • However, patients previously treated for pediatric cancers are at greater risk of developing benign hepatic tumors, raising the problems of getting an accurate noninvasive diagnosis.
  • Radiologic findings and needle-biopsies remained insufficient in 2 cases to rule out metastasis or a potentially threatening tumor.
  • Only surgical resection led to positive diagnosis and prevented complications.
  • [MeSH-major] Adrenal Gland Neoplasms / complications. Focal Nodular Hyperplasia / diagnosis. Kidney Neoplasms / complications. Neuroblastoma / complications. Wilms Tumor / complications
  • [MeSH-minor] Adenoma / diagnosis. Adolescent. Adult. Biopsy, Needle. Bone Marrow Transplantation / adverse effects. Chromosomes, Human, Pair 7. Cicatrix / etiology. Diagnosis, Differential. Female. Graft vs Host Disease / pathology. Humans. Liver / pathology. Liver / radiography. Liver / ultrasonography. Liver Neoplasms / diagnosis. Liver Neoplasms / secondary. Male. Monosomy. Pancytopenia / complications. Pancytopenia / genetics. Pancytopenia / surgery. Remission Induction


88. Meier R, Mühlethaler-Mottet A, Flahaut M, Coulon A, Fusco C, Louache F, Auderset K, Bourloud KB, Daudigeos E, Ruegg C, Vassal G, Gross N, Joseph JM: The chemokine receptor CXCR4 strongly promotes neuroblastoma primary tumour and metastatic growth, but not invasion. PLoS One; 2007;2(10):e1016
The Lens. Cited by Patents in .

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The chemokine receptor CXCR4 strongly promotes neuroblastoma primary tumour and metastatic growth, but not invasion.
  • Neuroblastoma (NB) is a heterogeneous, and particularly malignant childhood neoplasm in its higher stages, with a propensity to form metastasis in selected organs, in particular liver and bone marrow, and for which there is still no efficient treatment available beyond surgery.
  • In this study, we explored the potential role of CXCR4 in the malignant behaviour of NB, using a combination of in vitro functional analyses and in vivo growth and metastasis assessment in an orthotopic NB mouse model.
  • We show here that CXCR4 overexpression in non-metastatic CXCR4-negative NB cells IGR-NB8 and in moderately metastatic, CXCR4 expressing NB cells IGR-N91, strongly increased tumour growth of primary tumours and liver metastases, without altering the frequency or the pattern of metastasis.
  • High levels of CXCL12 were detected in the mouse adrenal gland (the primary tumour site), and in the liver suggesting a paracrine effect of host-derived CXCL12 on NB growth.
  • In conclusion, this study reveals a yet unreported NB-specific predominant growth and survival-promoting role of CXCR4, which warrants a critical reconsideration of the role of CXCR4 in the malignant behaviour of NB and other cancers.
  • [MeSH-minor] Animals. Bone Marrow Cells. Cell Line, Tumor. Cell Proliferation. Disease Progression. Gene Silencing. Humans. Liver / metabolism. Mice. Mice, Nude. Models, Biological. Neoplasm Invasiveness. Neoplasm Transplantation

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  • (PMID = 17925864.001).
  • [ISSN] 1932-6203
  • [Journal-full-title] PloS one
  • [ISO-abbreviation] PLoS ONE
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / CXCR4 protein, human; 0 / Receptors, CXCR4
  • [Other-IDs] NLM/ PMC1995764
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89. Lehtonen HJ, Kiuru M, Ylisaukko-Oja SK, Salovaara R, Herva R, Koivisto PA, Vierimaa O, Aittomäki K, Pukkala E, Launonen V, Aaltonen LA: Increased risk of cancer in patients with fumarate hydratase germline mutation. J Med Genet; 2006 Jun;43(6):523-6
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  • [Title] Increased risk of cancer in patients with fumarate hydratase germline mutation.
  • Hereditary leiomyomatosis and renal cell cancer (HLRCC) is a tumour predisposition syndrome caused by heterozygous germline mutations in the fumarate hydratase (FH) gene.
  • The condition is characterised by predisposition to benign leiomyomas of the skin and the uterus, renal cell carcinoma (RCC), and uterine leiomyosarcoma (ULMS).
  • To comprehensively examine the cancer risk and tumour spectrum in Finnish FH mutation positive families, genealogical and cancer data were obtained from 868 individuals.
  • To study tumour spectrum in FH mutation carriers, loss of the wild type allele was analysed from all available tumours (n = 22).
  • The overall cancer risk was statistically significantly increased in the age group of 15-29 years, consistent with features of cancer predisposition families in general.
  • Most RCC and ULMS tumours displayed biallelic inactivation of FH, as did breast and bladder cancers.
  • In addition, several benign tumours including atypical uterine leiomyomas, kidney cysts, and adrenal gland adenomas were observed.
  • The data enlighten the organ specific malignant potential of HLRCC.
  • [MeSH-major] Fumarate Hydratase / genetics. Genetic Predisposition to Disease. Germ-Line Mutation. Neoplasms / genetics
  • [MeSH-minor] Adolescent. Adult. Age Factors. Aged. Carcinoma, Renal Cell / diagnosis. Carcinoma, Renal Cell / genetics. Cohort Studies. Female. Finland. Humans. Kidney Neoplasms / diagnosis. Kidney Neoplasms / genetics. Leiomyomatosis / diagnosis. Leiomyomatosis / genetics. Male. Middle Aged. Phenotype. Risk Factors

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  • (PMID = 16155190.001).
  • [ISSN] 1468-6244
  • [Journal-full-title] Journal of medical genetics
  • [ISO-abbreviation] J. Med. Genet.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] EC 4.2.1.2 / Fumarate Hydratase
  • [Other-IDs] NLM/ PMC2564537
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90. Asbun HJ, Straznicka M, Strong VE: The role of minimal access surgery for metastasectomy and cytoreduction. Surg Oncol Clin N Am; 2007 Jul;16(3):607-25, ix
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  • This article summarizes findings about the applicability of minimal-access techniques for thoracic and upper gastrointestinal cancers, including those affecting the lung, liver, stomach, and adrenal gland.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Colorectal Neoplasms / pathology. Liver Neoplasms / surgery. Lung Neoplasms / surgery. Minimally Invasive Surgical Procedures / methods. Stomach Neoplasms / surgery


91. Stava CJ, Jimenez C, Vassilopoulou-Sellin R: Endocrine sequelae of cancer and cancer treatments. J Cancer Surviv; 2007 Dec;1(4):261-74
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  • [Title] Endocrine sequelae of cancer and cancer treatments.
  • INTRODUCTION: Exposure to cancer and its treatments, including chemotherapy and radiotherapy, may result in late adverse effects including endocrine dysfunction.
  • Endocrine disorders are the most commonly reported long-term complications of cancer treatment, especially by adult survivors of childhood cancers.
  • This review will explore the endocrinologic adverse effects from non-endocrine cancer therapies.
  • Endocrine disorders including hypothalamus dysfunction, hypopituitarism, syndrome of inappropriate anti-diuretic hormone secretion, diabetes insipidus, growth hormone disorders, hyperprolactinemia, gonadotropin deficiency, serum thyroid hormone-binding protein abnormalities, hypothyroidism, hyperthyroidism, hypomagnesium, hypocalcemia, hyperparathyroidism, hyperparathyroidism, adrenal dysfunction, gonadal dysfunction, hypertriglyceridemia, hypercholesterolemia, diabetes mellitus, and glycosuria were identified and their association with cancer therapies were outlined.
  • DISCUSSION/CONCLUSIONS: The journal articles have highlighted the association of cancer therapies, including chemotherapy and radiotherapy, with endocrine dysfunction.
  • IMPLICATIONS FOR CANCER SURVIVORS: Recognition and awareness of endocrine sequelae of cancer treatments may permit for early detection and appropriate follow-up care for cancer survivors, thus improving their overall health and quality of life.
  • [MeSH-major] Adrenal Gland Diseases / etiology. Antineoplastic Agents / adverse effects. Health Status. Hypothalamic Diseases / etiology. Metabolic Diseases / etiology. Neoplasms / drug therapy. Neoplasms / physiopathology. Neoplasms / radiotherapy. Radiotherapy / adverse effects


92. Jurczyńska J, Stepień T, Lawnicka H, Stepień H, Krupiński R, Kołomecki K, Kuzdak K, Komorowski J: Peripheral blood concentrations of vascular endothelial growth factor and its soluble receptors (R1 and R2) in patients with adrenal cortex tumours treated by surgery. Endokrynol Pol; 2009 Jan-Feb;60(1):9-13
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  • [Title] Peripheral blood concentrations of vascular endothelial growth factor and its soluble receptors (R1 and R2) in patients with adrenal cortex tumours treated by surgery.
  • INTRODUCTION: Neoangiogenesis appears to be an important event in tumour invasion and in the formation of metastases in many endocrine-related human cancers.
  • The aim of the study was to evaluate the plasma blood concentrations of VEGF, sVEGFR1, and sVEGFR2 in patients with benign and malignant adrenal tumours treated by surgery.
  • MATERIAL AND METHODS: We studied the blood before surgery of 41 patients with adrenal cortex tumours and 10 normal subjects without hormonal or CT/USG pathology of the adrenal glands (controls).
  • We studied the blood after adrenalectomy of 16 patients with tumours of the adrenal cortex.
  • After surgery VEGF concentrations decreased among the patients, taken in total, with adrenal cortex tumours and cortical adenomas.
  • CONCLUSIONS: Peripheral blood concentrations of VEGF and its receptors cannot be clinically valuable markers that discriminate between benign and malignant adrenocortical tumours before and after adrenalectomy.
  • [MeSH-major] Adrenal Gland Neoplasms / blood. Adrenal Gland Neoplasms / diagnosis. Biomarkers, Tumor / blood. Vascular Endothelial Growth Factor A / blood. Vascular Endothelial Growth Factor Receptor-1 / blood. Vascular Endothelial Growth Factor Receptor-2 / blood
  • [MeSH-minor] Adrenal Gland Diseases / blood. Adrenal Gland Diseases / diagnosis. Adrenalectomy. Adult. Aged. Diagnosis, Differential. Female. Humans. Male. Middle Aged

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  • (PMID = 19224499.001).
  • [ISSN] 0423-104X
  • [Journal-full-title] Endokrynologia Polska
  • [ISO-abbreviation] Endokrynol Pol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Poland
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / Vascular Endothelial Growth Factor A; EC 2.7.10.1 / Vascular Endothelial Growth Factor Receptor-1; EC 2.7.10.1 / Vascular Endothelial Growth Factor Receptor-2
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93. Hemal AK, Singh A, Gupta NP: Whether adrenal mass more than 5 cm can pose problem in laparoscopic adrenalectomy? An evaluation of 22 patients. World J Urol; 2008 Oct;26(5):505-8
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  • [Title] Whether adrenal mass more than 5 cm can pose problem in laparoscopic adrenalectomy? An evaluation of 22 patients.
  • OBJECTIVES: To evaluate technical feasibility and analyze outcome of laparoscopic adrenalectomy (LA) for large adrenal masses more than 5 cm.
  • METHODS: The data of 22 patients (8 men, 14 women), who underwent LA for adrenal masses >5 cm between January 1995 and July 2007 were analyzed for this study.
  • RESULTS: Twenty-two patients with a mean age of 42.5 years underwent LA for large adrenal masses (>5 cm) between January 1995 and July 2007.
  • The mean-operative time, blood loss, tumor size and hospital stay were 149.33 and 132.1 min, 132.33 and 94.28 ml, 7.85 and 5.85 cm and 3.5 and 3.28 days, respectively.
  • Histopathological examination of the specimen confirmed adrenal carcinoma in 5, pheochromocytoma in 14, myelolipoma in 2 and adenoma in 1 patient.
  • CONCLUSIONS: The size of an adrenal mass on preoperative imaging studies alone should not be the primary factor in determining whether LA should be performed.
  • LA for adrenocortical cancers could be performed safely and effectively in the selected group.
  • Transperitoneal approach is most suitable and recommended for large adrenal tumor and adrenal carcinoma to employ laparoscopy.
  • [MeSH-major] Adrenal Gland Neoplasms / pathology. Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Laparoscopy

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  • (PMID = 18536881.001).
  • [ISSN] 0724-4983
  • [Journal-full-title] World journal of urology
  • [ISO-abbreviation] World J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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94. Khochikar MV: Management of urological cancers during pregnancy. Nat Rev Urol; 2010 Apr;7(4):195-205
MedlinePlus Health Information. consumer health - Tumors and Pregnancy.

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Management of urological cancers during pregnancy.
  • Urological cancers during pregnancy pose many challenges for clinicians.
  • As these tumors are very rare among pregnant women and their symptoms might mimic those of common pregnancy-related disorders, the diagnosis is often delayed.
  • Once a urological tumor is diagnosed in a pregnant patient, appropriate steps should be taken to treat her and the fetus at the same time.
  • Common urological cancers that might occur during pregnancy include renal cancer, bladder cancer and adrenal tumors, particularly pheochromocytoma.
  • The treatment outcomes of these cancers in pregnant women are no different from those in the general population.
  • [MeSH-major] Pregnancy Complications, Neoplastic / diagnosis. Pregnancy Complications, Neoplastic / surgery. Urologic Neoplasms / diagnosis. Urologic Neoplasms / surgery

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  • [CommentIn] Nat Rev Urol. 2010 Jul;7(7):doi:10.1038/nrurol.2010.25-c1 [20665982.001]
  • (PMID = 20212515.001).
  • [ISSN] 1759-4820
  • [Journal-full-title] Nature reviews. Urology
  • [ISO-abbreviation] Nat Rev Urol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] England
  • [Number-of-references] 85
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95. Körner M, Reubi JC: NPY receptors in human cancer: a review of current knowledge. Peptides; 2007 Feb;28(2):419-25
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] NPY receptors in human cancer: a review of current knowledge.
  • Many peptide hormone receptors are over-expressed in human cancer, permitting an in vivo targeting of tumors for diagnostic and therapeutic purposes.
  • Using in vitro receptor autoradiography, Y1 and Y2 receptors have been found to be expressed in breast carcinomas, adrenal gland and related tumors, renal cell carcinomas, and ovarian cancers in both tumor cells and tumor-associated blood vessels.
  • Pathophysiologically, tumoral NPY receptors may be activated by endogenous NPY released from intratumoral nerve fibers or tumor cells themselves, and mediate NPY effects on tumor cell proliferation and tumoral blood supply.
  • Clinically, tumoral NPY receptors may be targeted with NPY analogs coupled with adequate radionuclides or cytotoxic agents for a scintigraphic tumor imaging and/or tumor therapy.
  • [MeSH-major] Neoplasms / metabolism. Receptors, Neuropeptide Y / metabolism

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  • (PMID = 17223228.001).
  • [ISSN] 0196-9781
  • [Journal-full-title] Peptides
  • [ISO-abbreviation] Peptides
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Receptors, Neuropeptide Y
  • [Number-of-references] 33
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96. Maynard MA, Ohh M: Molecular targets from VHL studies into the oxygen-sensing pathway. Curr Cancer Drug Targets; 2005 Aug;5(5):345-56
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Inheritance of a faulty von Hippel-Lindau (VHL) tumor suppressor gene is the cause of VHL disease, a rare multisystemic autosomal dominant disorder characterized by the development of hypervascular tumors in a number of organs, including the retina, brain, spine, pancreas, adrenal gland, and the kidney.
  • Accordingly, tumor cells devoid of functional pVHL show an inappropriate accumulation of HIF, as well as downstream HIF-target genes, such as vascular endothelial growth factor (VEGF), a potent angiogenic factor.
  • Furthermore, HIF has been found to be elevated in many human cancers further underscoring its common significance in oncogenesis.
  • Next generation anti-cancer drugs will undoubtedly emerge from our understanding of the molecular pathways governing normal cellular metabolism, growth and differentiation that have gone awry during neoplastic transformation, and studies in VHL disease will serve as one of the proving grounds for the efficacy of 'designer' anti-cancer drugs tailored against the VHL-HIF pathway.
  • [MeSH-major] Antineoplastic Agents / pharmacology. DNA-Binding Proteins / metabolism. Nuclear Proteins / metabolism. Transcription Factors / metabolism. Tumor Suppressor Proteins / genetics. Ubiquitin-Protein Ligases / genetics. von Hippel-Lindau Disease / genetics
  • [MeSH-minor] Animals. Antigens, Neoplasm / metabolism. Basic Helix-Loop-Helix Transcription Factors. Carbonic Anhydrase Inhibitors / pharmacology. Carbonic Anhydrases / metabolism. Gene Expression Regulation. Humans. Hypoxia-Inducible Factor 1. Hypoxia-Inducible Factor 1, alpha Subunit. Oxygen / metabolism. Vascular Endothelial Growth Factors / antagonists & inhibitors. Von Hippel-Lindau Tumor Suppressor Protein

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  • (PMID = 16101382.001).
  • [ISSN] 1568-0096
  • [Journal-full-title] Current cancer drug targets
  • [ISO-abbreviation] Curr Cancer Drug Targets
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] Netherlands
  • [Chemical-registry-number] 0 / Antigens, Neoplasm; 0 / Antineoplastic Agents; 0 / Basic Helix-Loop-Helix Transcription Factors; 0 / Carbonic Anhydrase Inhibitors; 0 / DNA-Binding Proteins; 0 / HIF1A protein, human; 0 / Hypoxia-Inducible Factor 1; 0 / Hypoxia-Inducible Factor 1, alpha Subunit; 0 / Nuclear Proteins; 0 / Transcription Factors; 0 / Tumor Suppressor Proteins; 0 / Vascular Endothelial Growth Factors; 0 / endothelial PAS domain-containing protein 1; EC 4.2.1.1 / CA9 protein, human; EC 4.2.1.1 / Carbonic Anhydrases; EC 6.3.2.19 / Ubiquitin-Protein Ligases; EC 6.3.2.19 / VHL protein, human; EC 6.3.2.19 / Von Hippel-Lindau Tumor Suppressor Protein; S88TT14065 / Oxygen
  • [Number-of-references] 188
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97. Raynaud CM, Mercier O, Dartevelle P, Commo F, Olaussen KA, de Montpreville V, André F, Sabatier L, Soria JC: Expression of chemokine receptor CCR6 as a molecular determinant of adrenal metastatic relapse in patients with primary lung cancer. Clin Lung Cancer; 2010 May;11(3):187-91
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Expression of chemokine receptor CCR6 as a molecular determinant of adrenal metastatic relapse in patients with primary lung cancer.
  • We evaluated the potential implications of chemokine receptors in the development of adrenal metastasis after complete resections of primary non-small-cell lung cancer.
  • PATIENTS AND METHODS: We studied a unique cohort of 21 primary lung cancers with matched adrenal metastases for the expression of CX3CR1, CXCR4, CCR6, and CCR7, using immunohistochemistry.
  • RESULTS: Although CXCR4, CX3CR1, and CCR7 were independently expressed in primary and corresponding metastases, CCR6 was clearly overexpressed in adrenal metastases, compared with corresponding primary tumors.
  • Moreover, CCL20, the ligand of CCR6, was preferentially expressed in adrenal tissues that developed metastases.
  • CONCLUSION: We report for the first time (to the best of our knowledge) a potential role for the CCR6 receptor in the organ orientation of the development of metastases in lung cancer.
  • We demonstrated a statistically significant overexpression of CCR6 in adrenal metastases compared with primary lung tumors, indicating that the increased production of CCL20 in adrenal glands might contribute to the selective recruitment of CCR6-expressing cancer cells in lung cancer.
  • [MeSH-major] Adrenal Gland Neoplasms / secondary. Biomarkers, Tumor / analysis. Carcinoma, Non-Small-Cell Lung / secondary. Lung Neoplasms / pathology. Receptors, CCR6 / biosynthesis

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  • (PMID = 20439195.001).
  • [ISSN] 1938-0690
  • [Journal-full-title] Clinical lung cancer
  • [ISO-abbreviation] Clin Lung Cancer
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / CCR6 protein, human; 0 / CCR7 protein, human; 0 / CX3CR1 protein, human; 0 / CXCR4 protein, human; 0 / Chemokine CCL20; 0 / Receptors, CCR6; 0 / Receptors, CCR7; 0 / Receptors, CXCR4; 0 / Receptors, Chemokine
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98. Zacharopoulou C, Nassif J, Allemann P, Dallemagne B, Perretta S, Marescaux J, Wattiez A: Exploration of the retroperitoneum using the transvaginal natural orifice transluminal endoscopic surgery technique. J Minim Invasive Gynecol; 2009 Mar-Apr;16(2):198-203
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  • An excellent view of the retroperitoneal space and structures, such as the vascular and lymphatic tissues, the kidney, the adrenal gland, and the ureter, was obtained.

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  • [CommentIn] J Minim Invasive Gynecol. 2009 Sep-Oct;16(5):659; author reply 659 [19835818.001]
  • (PMID = 19249708.001).
  • [ISSN] 1553-4650
  • [Journal-full-title] Journal of minimally invasive gynecology
  • [ISO-abbreviation] J Minim Invasive Gynecol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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99. Zambetti GP: The p53 mutation "gradient effect" and its clinical implications. J Cell Physiol; 2007 Nov;213(2):370-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The p53 tumor suppressor-signaling pathway is inactivated in most human cancers.
  • Depending on how p53 is targeted during tumorigenesis impacts whether partial or full tumor suppressor activity is lost.
  • The degree of remaining p53 activity, if any, intuitively impacts the tumor phenotype.
  • This review focuses on recent findings from human cancer studies and genetically engineered mouse models to highlight a p53 functional "gradient effect" and its clinical implications.
  • [MeSH-major] Genes, p53. Mutation. Neoplasms / genetics. Tumor Suppressor Protein p53 / metabolism
  • [MeSH-minor] Adrenal Gland Neoplasms / genetics. Adrenal Gland Neoplasms / metabolism. Adrenal Gland Neoplasms / physiopathology. Animals. Humans. Li-Fraumeni Syndrome / genetics. Li-Fraumeni Syndrome / metabolism. Polymorphism, Genetic. Proto-Oncogene Proteins c-mdm2 / genetics. Proto-Oncogene Proteins c-mdm2 / metabolism. Signal Transduction / physiology

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  • (PMID = 17671971.001).
  • [ISSN] 0021-9541
  • [Journal-full-title] Journal of cellular physiology
  • [ISO-abbreviation] J. Cell. Physiol.
  • [Language] eng
  • [Grant] United States / NCI NIH HHS / CA / CA21765; United States / NCI NIH HHS / CA / CA63230
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Tumor Suppressor Protein p53; EC 6.3.2.19 / Proto-Oncogene Proteins c-mdm2
  • [Number-of-references] 39
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100. Leboeuf R, Bénard F, Langlois MF: Thyroid cancer presenting as a PET incidentaloma in a patient with concomitant breast cancer metastases to the thyroid. Clin Nucl Med; 2006 Jul;31(7):382-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Thyroid cancer presenting as a PET incidentaloma in a patient with concomitant breast cancer metastases to the thyroid.
  • INTRODUCTION: Metastases to the thyroid gland are considered a rare cause of thyroid tumor.
  • CASE DESCRIPTION: We describe the case of a 59-year-old woman who presented with simultaneous papillary and breast carcinoma within the thyroid gland.
  • F-18 fluorodeoxyglucose (FDG) positron emission tomography (PET) done for the evaluation of her metastatic breast cancer revealed a thyroid incidentaloma with a high metabolic rate (standardized uptake value [SUV] of 13).
  • CONCLUSION: This is a rare description of a concomitant papillary thyroid carcinoma presenting as an FDG PET incidentaloma alongside breast cancer metastases to the thyroid gland.
  • Thyroid and breast cancer sometimes occur in the same patient.
  • However, no explanation has been found to link these 2 cancers.
  • Although uncommon, FDG PET thyroid incidentalomas seem to harbor a higher rate of malignancy than incidentalomas found on conventional imaging.
  • [MeSH-major] Breast Neoplasms / pathology. Carcinoma, Ductal, Breast / secondary. Carcinoma, Papillary / radionuclide imaging. Estrogens. Incidental Findings. Neoplasms, Hormone-Dependent / radionuclide imaging. Neoplasms, Hormone-Dependent / secondary. Neoplasms, Second Primary / radionuclide imaging. Positron-Emission Tomography. Thyroid Neoplasms / radionuclide imaging. Thyroid Neoplasms / secondary
  • [MeSH-minor] Adrenal Gland Neoplasms / secondary. Antineoplastic Agents, Hormonal / therapeutic use. Chemotherapy, Adjuvant. Combined Modality Therapy. Disease Progression. Female. Fluorodeoxyglucose F18. Humans. Iodine Radioisotopes / therapeutic use. Lung Neoplasms / drug therapy. Lung Neoplasms / secondary. Mastectomy, Segmental. Mediastinal Neoplasms / drug therapy. Mediastinal Neoplasms / secondary. Middle Aged. Neoplasm Proteins / analysis. Neoplasms, Radiation-Induced / etiology. Neoplasms, Radiation-Induced / radiography. Neoplasms, Radiation-Induced / radionuclide imaging. Radiopharmaceuticals / therapeutic use. Radiotherapy, Adjuvant. Receptors, Estrogen / analysis. Receptors, Progesterone / analysis. Tamoxifen / therapeutic use. Tomography, X-Ray Computed

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  • (PMID = 16785803.001).
  • [ISSN] 0363-9762
  • [Journal-full-title] Clinical nuclear medicine
  • [ISO-abbreviation] Clin Nucl Med
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antineoplastic Agents, Hormonal; 0 / Estrogens; 0 / Iodine Radioisotopes; 0 / Neoplasm Proteins; 0 / Radiopharmaceuticals; 0 / Receptors, Estrogen; 0 / Receptors, Progesterone; 094ZI81Y45 / Tamoxifen; 0Z5B2CJX4D / Fluorodeoxyglucose F18
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