Surgical Management of Giant L2 Adrenal Neuroblastoma in Adult Male

Thapa, Bikash Bikram; Yadav, Sanjay Kumar; Pant, Sujit; Rajkarnikar, Pratik; Mandal, Pankaj Kumar

doi:10.1155/2020/8890223

Cited by 1 publication

(1 citation statement)

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“…Furthermore, the current report presents the largest neoplasia of this histology managed completely with a minimally-invasive approach. Schalk et al [ 15 ] and Thapa et al [ 24 ] published cases with masses of 170 mm and 200 mm, respectively, but managed in an open manner. Regarding the laparoscopic approach, it has been taken into consideration for smaller, less invasive tumors.…”

Section: Discussionmentioning

confidence: 99%

Adrenal Gland Primary Neuroblastoma in an Adult Patient: A Case Report and Literature Review

et al. 2022

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Neuroblastoma (NB) is an undifferentiated malignant tumor of the sympathetic ganglia, occurring in children under 5 years of age. However, it is a rare histology in adult patients, occurring once per every 10 million patients per year. We present the case of a 68-year-old male patient presented to our department for right lumbar pain, asthenia, loss of weight and altered general status. The contrast-enhanced abdominal computer tomography revealed bilateral adrenal tumoral masses of 149 mm and 82 mm on the right and left sides, respectively, with invasion of the surrounding organs. The patient underwent right 3D laparoscopic adrenalectomy and right radical nephrectomy. The pathological result concluded that the excised tumor was a neuroblastoma of the adrenal gland. The patient followed adjuvant oncological treatment; however, due to disease progression, he passed away 22 months after the surgery. To our knowledge, less than 100 cases of adrenal NB in adult patients have been published, the eldest case being diagnosed at 75 years of age; meanwhile, the largest reported tumor measured 200 mm, and was excised through open surgery. Minimally invasive techniques have been limited so far to smaller, organ-confined diseases, thus making the present case the largest adrenal NB removed entirely laparoscopically. Neuroblastoma in the adult population is a rare finding, with worse prognosis compared to pediatric patients. The available literature does not provide enough data for standardized, multimodal management, as the patients are treated following adapted pediatric protocols, thus reinforcing the need for international, multidisciplinary boards for rare tumors.

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Section: Discussionmentioning

confidence: 99%