Adrenal Cortex Tumors Flashcards
Where do most adrenal tumors develop?
Most tumors develop in the cortex.
What is the age distribution for adrenal gland neoplasms?
Bimodal age distribution with two peaks: before age 40 and in people age 40-50.
Which gender is more affected by adrenal gland tumors?
Women are affected slightly more than men, and hyperfunctioning malignancies are more common in women.
What are some risk factors for adrenal cortex tumors?
Risk factors include Li-Fraumeni syndrome, Beckwith-Wiedemann syndrome, MEN-1, obesity, and smoking.
What methods are used for detection and diagnosis of adrenal cortex tumors?
Detection methods include history and physical exam, imaging studies (CT or MRI), and lab studies.
How is the diagnosis of adrenal cortex tumors confirmed?
Needle biopsy with CT guidance is needed to confirm diagnosis.
What is a common symptom associated with non-functioning adrenal tumors?
In non-functioning tumors, pain is often associated with the presenting symptom.
Is there a staging system for adrenal cortex tumors?
No true staging system exists because so few cases are reported.
What is the treatment of choice for adrenal cancer?
Surgery is the treatment of choice.
What happens during surgery for adrenal cancer?
The entire adrenal gland will be removed.
What is done if the tumor was not completely removed?
Treatment with radiation and/or chemotherapy may be given after surgery to help keep the cancer from coming back.
What are the post-operative treatment options for adrenal cancer?
Post-op radiation therapy and chemotherapy may be used.
