CLINICOPATHOLOGIC ANALYSIS AND SURGICAL OUTCOME OF ADRENAL LESIONS- A SINGLE CENTRE EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 45
Abstract
BACKGROUND Adrenal lesions are uncommon, often present with wide spectrum of manifestations, ranging from silent, benign incidentaloma to functional and rarely highly malignant neoplasm. We present our institutional experience regarding evaluation, management and outcome of adrenal lesions. MATERIALS AND METHODS A retrospective study was carried out in patients who had undergone adrenalectomy at our institution from 2009 to 2017. RESULTS A total of 41 patients underwent adrenalectomy during this period. Mean patient age was 45.7 years. Slight male (M/F =25/16) and left side (R/L = 17/24) predominance was noted. Silent incidentaloma 21 (52%) was the most common presentation. Similarly, the lesion was biochemically inert in 26 (63.4%) cases. As compared to open adrenalectomy, blood loss (P=0.02), analgesic requirement (P=0.04) and duration of hospital stay (P=0.017) was significantly lesser in laparoscopic group. Histopathological examination revealed a benign lesion in 38 (93.7%) cases. Mean duration of followup was 18.5 months. There was no evidence of recurrence in benign lesions. CONCLUSION A diligent evaluation is required in all cases in order to characterise these adrenal lesions. Benign lesions, when excised completely, result in excellent long term outcome. Minimally invasive surgery is preferred because of minimal blood loss, shorter hospital stay and better cosmesis as compared to open methods.
Authors and Affiliations
Sujata Pujari, Gyan Prakash Singh, Sabyasachi Panda, Datteswar Hota, Pramod Kumar Mohanty, Samir Swain, Srikanta Kumar Pathy, Sidharth Shankar Das
Keywords
Related Articles
- EP ID EP216801
- DOI 10.14260/Jemds/2017/755
- Views 93
- Downloads 0
STRONGYLOIDES STERCORALIS- AN UNDERDIAGNOSED PARASITIC INFECTION?- A STUDY FROM A TERTIARY CARE HOSPITAL IN NORTH INDIA
BACKGROUND Strongyloidiasis is an infectious parasitic disease caused by Strongyloides stercoralis- the soil transmitted intestinal nematode pathogenic to humans. The infection is prevalent throughout, infecting more tha...
TUBERCULOSIS AND RECURRENT POSTOPERATIVE WOUND INFECTION
We report a case of post operative repeated wound infection due to Mycobacterium Tuberculosis. A 25 yr old woman presented to us with watery discharge from Caesarean section wound, done elsewhere 3 months ago....
A RARE CASE OF RICHTER’S OBTURATOR HERNIA ON RIGHT SIDE IN A MALE PATIENT: A CASE REPORT AND REVIEW OF LITERATURE
Obturator hernia is a rare form of pelvic hernia accounting for 0.07-1% of all types of hernias and 0.2 to 1.6% of all the cases of small bowel obstruction having the highest mortality rate of all abdominal wall...
SOCIO-DEMOGRAPHIC PROFILES OF SEPTIC ABORTION
[b]INTRODUCTION:[/b] Septic abortion is a significant contributor to maternal morbidity and mortality. Termination of pregnancy, although a safe and easy procedure in trained hands, can produce catastrophic outcome...
ANTIBIOTIC RESISTANCE AND BIOFILM FORMATION AMONG NOSOCOMIAL PATHOGENS IN A TERTIARY CARE HOSPITAL
BACKGROUND Biofilm formation is an important mode of growth because it is associated with the chronic nature of the subsequent infections, and it helps in inherent resistance to antibiotic chemotherapy. Various nosocomia...