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June 6, 2007New England Journal of MedicineOpen Access

Adjuvant Mitotane Treatment for Adrenocortical Carcinoma

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Why the study?

Does adjuvant mitotane prolong recurrence-free survival in patients with radically resected adrenocortical carcinoma?

Population

177 patients with adrenocortical cancer who had undergone radical surgery at 8 centers in Italy and 47…

Comparison

Adjuvant mitotane administered after radical… vs No adjuvant treatment after surgery

Design

Cohort

Authors

MTMassimo TerzoloOspedale San Luigi GonzagaAAAlberto AngeliOspedale San Luigi Gonzaga
Martin Faßnacht
Martin FaßnachtCentre National de la Recherche Scientifique

Discussion

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Overview

Supports adjuvant mitotane after resected adrenocortical carcinoma; leaves open confirmation in randomized trials.

Structured PICO

Does adjuvant mitotane prolong recurrence-free survival in patients with radically resected adrenocortical carcinoma?

P
Population
177 patients with adrenocortical cancer who had undergone radical surgery at 8 centers in Italy and 47 centers in Germany between 1985 and 2005.
I
Intervention
Adjuvant mitotane administered after radical surgery
C
Comparator
No adjuvant treatment after surgery (control group 1: 55 Italian patients; control group 2: 75 German patients)
O
Outcome
Recurrence-free survivalhard clinical

Adjuvant mitotane significantly prolongs recurrence-free survival in patients with radically resected adrenocortical carcinoma compared to no adjuvant treatment.

Cite This Study

Terzolo et al. (2007) studied this question.

synapsesocial.com/papers/6a71fe5b6c240de38cdc47f9https://doi.org/10.1056/nejmoa063360
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of adjuvant mitotane on the clinical course of patients with adrenocortical cancer1993 · 127 citations
  2. 2Adrenocortical carcinoma2001 · 160 citations
  3. 3Adrenocortical Carcinoma: Clinical, Morphologic, and Molecular Characterization2002 · 296 citations
  4. 4Impact of monitoring plasma 1,1-dichlorodiphenildichloroethane (o,p?DDD) levels on the treatment of patients with adrenocortical carcinoma2001 · 239 citations
  5. 5Adrenocortical Carcinoma: Experience in 45 Patients2009 · 83 citations