Diagnosis and treatment of adrenocortical cancer

摘要

The goal of investigation is to evaluate the immediate and long-term results of treatment of adrenocortical cancer. Materials and methods: the analysis was applied to the results of examination and treatment of 31 patients with adrenocortical cancer. Results: disease-free for up to 5 years of the disease observed in 29,2% of cases. In 16,1% of cases took place a second surgery for local recurrence of the tumor and (or) distant metastases. Conclusion: surgical intervention remains the only method of radical treatment of adrenocortical cancer. The main conditions for radical surgery should be considered as removing the adrenal gland to the surrounding tissue as well as fiber aortocaval gap. Improving long-term outcome is possible with early detection of the disease, careful dynamic monitoring in the postoperative period, the development of more effective chemotherapy regimens carrying on the testimony of biotherapy, implementation of cytoreductive operations with impossibility of radical intervention.