Adrenocortical carcinoma natural history: Difference between revisions

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{{CMG}} {{AE}} {{RT}} {{AAM}}
{{CMG}} {{AE}} {{RT}} {{AAM}}
==Overview==
==Overview==
Prognosis is generally poor, and the 5-year survival rate of patients with adrenocortical carcinoma [[Cancer staging|stage]] I-III is approximately 30%.
Prognosis is generally poor, and the 5-year survival rate of patients with adrenocortical carcinoma [[Cancer staging|stage]] I-III is approximately 30%. Complication may include [[metastasis]], [[Conn syndrom]] and [[Cushing syndrom]]
 
==Complications==
==Complications==
The following are the complications of [[Adrenocortical carcinoma]]:
The following are the complications of [[Adrenocortical carcinoma]]:
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* [[Conn syndrome]]
* [[Conn syndrome]]
* [[Hypertension]]
* [[Hypertension]]
* [[Virilization]]
* Local and distant [[metastasis]]
* [[Feminization]]
* Local and Distant [[metastasis]]
* [[Paraneoplastic syndrome]]
* [[Paraneoplastic syndrome]]
* Tumor [[thrombus]] formation
* Tumor [[thrombus]] formation
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==Prognosis==  
==Prognosis==  
Adrenocortical carcinoma, generally, carries a poor prognosis.<ref name=allolio>{{cite journal | author = Allolio B, Fassnacht M | title = Clinical review: Adrenocortical carcinoma: clinical update. | journal = J Clin Endocrinol Metab | volume = 91 | issue = 6 | pages = 2027-37 | year = 2006 | id = PMID 16551738}} [http://jcem.endojournals.org/cgi/content/full/91/6/2027 Free Full Text].</ref>
Adrenocortical carcinoma, generally, carries a poor prognosis.<ref name=allolio>{{cite journal | author = Allolio B, Fassnacht M | title = Clinical review: Adrenocortical carcinoma: clinical update. | journal = J Clin Endocrinol Metab | volume = 91 | issue = 6 | pages = 2027-37 | year = 2006 | id = PMID 16551738}} [http://jcem.endojournals.org/cgi/content/full/91/6/2027 Free Full Text].</ref>
Five-year disease-free survival for a complete resection of a [[Cancer staging|stage]] I-III is approximately 30%.<ref name=allolio/>
The five-year disease-free survival rate for a complete resection of a [[Cancer staging|stage]] I-III is approximately 30%.<ref name=allolio/>


The most important prognostic factors are:
The most important prognostic factors are:
* Age of the patient
* Age of the patient
* Stage of the tumor
* Stage of the tumor
Poor prognostic factors include:
* Mitotic activity
* Mitotic activity
* Venous invasion
* Venous invasion

Revision as of 21:50, 27 August 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Ahmad Al Maradni, M.D. [3]

Overview

Prognosis is generally poor, and the 5-year survival rate of patients with adrenocortical carcinoma stage I-III is approximately 30%. Complication may include metastasis, Conn syndrom and Cushing syndrom

Complications

The following are the complications of Adrenocortical carcinoma:

Prognosis

Adrenocortical carcinoma, generally, carries a poor prognosis.[1] The five-year disease-free survival rate for a complete resection of a stage I-III is approximately 30%.[1]

The most important prognostic factors are:

  • Age of the patient
  • Stage of the tumor
  • Mitotic activity
  • Venous invasion
  • Weight more than 50 Kg
  • Diameter more than 6.5 cm
  • Ki-67/MIB1 labeling index

References

  1. 1.0 1.1 Allolio B, Fassnacht M (2006). "Clinical review: Adrenocortical carcinoma: clinical update". J Clin Endocrinol Metab. 91 (6): 2027–37. PMID 16551738. Free Full Text.

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