Surgical management and outcomes of spinal metastasis of malignant adrenal tumor: A retrospective study of six cases and literature review

被引:1
作者
Ni, Xiangzhi [1 ]
Wang, Jing [1 ]
Cao, Jiashi [2 ]
Zhang, Kun [1 ]
Hou, Shuming [1 ]
Huang, Xing [1 ]
Song, Yuanjin [3 ]
Gao, Xin [1 ]
Xiao, Jianru [1 ]
Liu, Tielong [1 ]
机构
[1] Navy Med Univ, Changzheng Hosp, Dept Orthopaed Oncol, Shanghai, Peoples R China
[2] Navy Med Univ, Hosp Chinese Peoples Liberat Army 455, Dept Orthoped, Shanghai, Peoples R China
[3] 80th Grp Army Hosp, Dept Orthopaed, Weifang, Shandong, Peoples R China
基金
中国国家自然科学基金;
关键词
adrenal tumor; spinal metastasis; adrenocortical carcinoma; malignant phaeochromocytoma; surgery; adjuvant therapy; PREOPERATIVE EMBOLIZATION; ADRENOCORTICAL CARCINOMA; CORTICAL CARCINOMA; PROGNOSTIC-FACTORS; ADJUVANT MITOTANE; BONE METASTASES; PHEOCHROMOCYTOMA; RESECTION; SURGERY; MORBIDITY;
D O I
10.3389/fonc.2023.1110045
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
PurposeSpinal metastasis of malignant adrenal tumor (SMMAT) is an extremely rare and poorly understood malignant tumor originating from the adrenal gland. The objective of this study is to elucidate the clinical characteristics and discuss surgical management and outcomes of SMMAT. MethodsIncluded in this study were six SMMAT patients who received surgical treatment in our center between February 2013 and May 2022. Their clinical data and outcomes were retrospectively analyzed to gain a better understanding of SMMAT. In addition, ten cases from the literature focusing on SMMAT were also reviewed. ResultsSurgery was performed successfully, and the associated symptoms were relieved significantly in all patients postoperatively. The mean follow-up duration was 26.2 (range 3-55) months. Two patients died of tumor recurrence 12 and 48 months after operation respectively. The other four patients were alive at the last follow-up. ConclusionsThe prognosis of SMMAT is usually poor. Preoperative embolization and early surgical radical resection can offer satisfactory clinical outcomes. The patient's health status, preoperative neurological function, tumor location and the resection mode are potential prognostic factors of SMMAT.
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页数:9
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