Pheochromocytoma: A Long-Term Follow-Up of 24 Patients
Undergoing Laparoscopic Adrenalectomy
Lísias N. Castilho, Fabiano A. Simoes, Andre M. Santos, Tiago M. Rodrigues, Carlos A. dos Santos Junior
Section of Urology, Catholic University of Campinas, Campinas, Sao Paulo, Brazil
ABSTRACT
Purpose: 3KHRFKURPRF\WRPDVDUHWXPRUVGHULYHGIURPFKURPDI¿QFHOOVWKDWRIWHQVHFUHWHFDWHFKRODPLQHVDQGFDXVHK\SHU
-WHQVLRQ7KHFOLQLFDOGLDJQRVLVRISKHRFKURPRF\WRPDGHSHQGVRQWKHSUHVHQFHRIH[FHVVLYHSURGXFWLRQRIFDWHFKRODPLQHV &RQYHQWLRQDOLPDJLQJPRGDOLWLHVWKDWKDYHEHHQXVHGLQWKHSUHRSHUDWLYHHYDOXDWLRQLQFOXGH&705,DQG,0,%* VFLQWLJUDSK\6XUJLFDOUHVHFWLRQLVWKHGH¿QLWLYHWUHDWPHQWIRUSDWLHQWVZLWKSKHRFKURPRF\WRPD7KHJRDORIWKLVVWXG\ZDV WRHYDOXDWHWKHORQJWHUPIROORZXSRISDWLHQWVXQGHUJRLQJODSDURVFRSLFDGUHQDOHFWRP\IRUSKHRFKURPRF\WRPD Materials and Methods: )URP-DQXDU\WR6HSWHPEHUSDWLHQWVXQGHUZHQWODSDURVFRSLFDGUHQDOHFWRP\IRU DGUHQDOSKHRFKURPRF\WRPD7ZHQW\SDWLHQWVKDGDUWHULDOK\SHUWHQVLRQ7KHLQFOXVLRQFULWHULDRISDWLHQWVLQWKLV UHWURVSHFWLYHVWXG\ZHUHODSDURVFRSLFDSSURDFKXQLODWHUDORUELODWHUDODGUHQDOWXPRUSDWKRORJLFDOGLDJQRVLVRISKHRFKUR
-PRF\WRPDDQGDPLQLPXPIROORZXSRIPRQWKV
Results:,QWUDRSHUDWLYHFRPSOLFDWLRQVRFFXUUHGLQSDWLHQWV7ZRSDWLHQWVKDGSRVWRSHUDWLYHFRPSOLFD
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Conclusions:2XUUHVXOWVFRQ¿UPHGWKDWODSDURVFRSLFDGUHQDOHFWRP\IRUSKHRFKURPRF\WRPDLVDVDIHDQGHIIHFWLYHSUR
-FHGXUHSURYLGLQJWKHEHQH¿WVRIDPLQLPDOO\LQYDVLYHDSSURDFK,QRXUVWXG\WKHLQLWLDOSRVLWLYHUHVXOWVREWDLQHGLQWKH WUHDWPHQWRISDWLHQWVZHUHFRQ¿UPHGDIWHUDPHDQIROORZXSRIPRQWKV
Key words: laparoscopy; pheochromocytoma; adrenalectomy
Int Braz J Urol. 2009; 35: 24-35
INTRODUCTION
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Figure 2 – MRI showing large adrenal mass - hypersignal in T2.
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MATERIALS AND METHODS
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RESULTS
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Table 1 – Pre-operative data.
Case Age
\HDUV Gender Clinical Presentation Antecedent Side CT - Tumor SizePP
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Table 2 – Intra-operative (IO) occurrences.
Case IO Complication Conduct Operative Time PLQXWHV Transfusion
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Table 3 – Postoperative (PO) results.
Case PO Complication Long-term Follow-up Follow-up
PRQWKV Final Diagnosis
1RQH Cure Pheochromocytoma
1RQH Cure )DPLOLDOSKHRFKURPRF\WRPD
1RQH Cure Pheochromocytoma
1RQH Cure )DPLOLDOSKHRFKURPRF\WRPD
1RQH +\SHUWHQVLYHFULVHV Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH Cure 1RQVHFUHWRU\SKHR
1RQH Cure Pheochromocytoma
5HQDOIDLOXUHSRVWRSHUDWLYH
LOHXP6&LQIHFWLRQ Cure Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH 0LOGK\SHUWHQVLRQ Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH &XUHGHDWKGXHWRDKHDUW
DWWDFNDIWHUPRQWKV )DPLOLDOSKHRFKURPRF\WRPD
1RQH Cure Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH Cure 'RSDPLQHVHFUHWRU\SKHR
1RQH Cure Pheochromocytoma
1RQH Cure Pheochromocytoma
1RQH Cure Pheochromocytoma
Ecchymosis Cure 1RQVHFUHWRU\SKHR
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COMMENTS
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Section of Urology ABC Medical School São Paulo, SP, Brazil E-mail: [email protected]
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Section of Urology Federal University of Sao Paulo, UNIFESP Sao Paulo, SP, Brazil E-mail: [email protected]
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REFERENCES
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Dr. M Fau & Dr. Laurent Brunaud