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February 17, 2015British journal of surgeryOpen Access

Diagnosis, treatment and outcome of adrenocortical cancer

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Key result

The overall 5-year survival rate for all patients with adrenocortical cancer is 30%, though patients with tumors <5 cm and no metastases have a median survival exceeding 10 years.

Why the study?

What are the current evidence-based diagnosis, treatment, and outcomes for patients with adrenocortical cancer?

Population

Patients with adrenocortical cancer (ACC)

Design

Review

Authors

RMRadu Mihai

Discussion

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Member takes

Overview

Stage-specific survival informs counseling in adrenocortical cancer; leaves open optimal adjuvant and systemic strategies.

Study Design

Type

Systematic Review (n=2,049)

Structured PICO

What are the current evidence-based diagnosis, treatment, and outcomes for patients with adrenocortical cancer?

P
Population
Systematic review of 2,049 publications published between 2004 and 2014 regarding the diagnosis, treatment, and outcomes of adrenocortical cancer.
E
Exposure
Adrenalectomy (open or laparoscopic) and/or chemotherapy (mitotane plus etoposide, doxorubicin, and cisplatin)
O
Outcome
Survival and progression-free survivalhard clinical

Adrenocortical cancer remains a disease with a poor overall prognosis (30% 5-year survival), though early-stage disease treated with surgery and advanced disease treated with mitotane-based combination chemotherapy show improved outcomes.

Limitations

  • Data derived from institutional case series have failed to provide an evidence level above expert opinion for laparoscopic adrenalectomy.

Cite This Study

Radu Mihai (2015) conducted a systematic review in Adrenocortical cancer (n=2,049). Adrenocortical cancer treatments (surgery, mitotane, chemotherapy) was evaluated. The overall 5-year survival rate for all patients with adrenocortical cancer is 30%, though patients with tumors <5 cm and no metastases have a median survival exceeding 10 years.

synapsesocial.com/papers/6a9b5aea72bdcf536b47e6bbhttps://doi.org/10.1002/bjs.9743
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Also Consider

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

  1. 1Treatment of adrenocortical carcinoma: oncological and endocrine outcomes2022 · 5 citations
  2. 2Adrenocortical carcinoma (ACC): diagnosis, prognosis, and treatment2015 · 232 citations
  3. 3Adrenocortical Carcinoma: Clinical Update2006 · 778 citations
  4. 4National Treatment Practice for Adrenocortical Carcinoma: Have They Changed and Have We Made Any Progress?2019 · 28 citations
  5. 5Recent advances in adrenocortical carcinoma in adults2013 · 48 citations