Dimitrios A. Linos
The management of adrenalomas should include the following: 1. A detailed history and physical examination to detect subtle evidence of hormonal hypersecretion or the possibility of metastatic carcinoma…
Adrenal Incidentaloma (Adrenaloma)
Subclinical Cushing’s syndrome: Current concepts and trends
George N. Zografos, Iraklis Perysinakis, Evangeline Vassilatou
Clinically inapparent adrenal masses which are incidentally detected have become a common problem in everyday practice. Approximately 5-20% of adrenal incidentalomas present subclinical cortisol hypersecretion which is characterized by subtle alterations of the hypothalamic-pituitary-adrenal …
Surgical treatment of potentially primary malignant adrenal tumors: an unresolved issue
George N. Zografos, Iraklis Perysinakis, Eustathia Kyrodimou, Eva Kassi, Gregory Kaltsas
Although the great majority of incidentalomas are adrenocortical adenomas, a number of them, depending on the size and radiological characteristics of the lesions, will turn out to be carcinomas. These tumors may present as suspicious on initial evaluation and potentially malignant or malignant on histology …
Laparoscopic surgery for adrenal tumors. A retrospective analysis
George N. Zografos, Athina Markou, Chrisanthi Ageli, Nikos Kopanakis, Spiros Koutmos, Gregory Kaltsas, George Piaditis, George I. Papastrati
OBJECTIVE. Laparoscopic adrenalectomy has rapidly replaced open adrenalectomy as the procedure of choice for benign adrenal tumors. The aim of this study was to evaluate the short- and long-term results of 100 consecutive laparoscopic and open adrenalectomies performed during a period of 8.5 years in our Surgical Unit…
Surgery for pheochromocytoma: A 20-year experience of a single institution
Chrysanthi Aggeli, Alexander M. Nixon, Christos Parianos, Georgios Vletsis, Labrini Papanastasiou, Athina Markou, Theodora Kounadi, Georgrios Piaditis, Georgios N. Zografos
OBJECTIVE: Resection of pheochromocytomas is a challenging procedure due to hemodynamic lability. Our aim was to evaluate surgical outcomes in 67 patients with pheochromocytoma and to validate the role of laparoscopic surgery in the treatment of these tumors. DESIGN: This study is a retrospective review. A total of 68 procedures for pheochromocytoma …
Adrenal cortical oncocytoma mimicking pheochromocytoma
Andreas Kiriakopoulos, Dimitrios Papaioannou, Dimitrios Linos
Objective: Adrenal tumors present with clinical features and signs unique to their specific hormonal hypersecretion. However, there have been cases in which the clinical expression has been in conflict with the histologic features of the tumor. In this communication we report an unusual clinical presentation of an adrenal cortical tumor with histologic features …