The case series of functional adrenal tumors: Experience of two tertiary hospitals in Yaoundé, Cameroon

Surgical Management of Adrenal Tumors: Experience of Three Tertiary Hospitals in Yaounde, Cameroon

“…This finding is higher than that reported by Takongmo et al (0.06) and lower than that of Zorgani et al who had an incidence of (2 -4) [9] [10]. Studies in developed countries have shown an increased prevalence and incidence of adrenal tumors [8] [11] [12] [13]. This could be attributed to the availability of social security, diagnostic and therapeutic means such as minimally invasive surgery which is not easily accessible in our context.…”

“…However, open surgery is still indicated in large and malignant adrenal tumors. In our context (developing countries and low technical platforms), minimally invasive surgery is not always available and accessible [8] [9]. Open Journal of Urology We recorded 18 patients who had adrenalectomy for adrenal tumors over 15 years during this study, giving an incidence of 1.2 cases per year.…”

“…Mbouche et al in a case series of seven functional adrenal tumors reported in Yaounde, three patients with perioperative morbidity including a patient with adrenal insufficiency and two cases of mortality which were due to hypovolemic shock per-operatively and anaphylactic complications during transfusion postsurgery. These patients did not have multidisciplinary consultations and were all operated using the trans-peritoneal approach [8].…”

Adrenal adenoma associated with raised metanephrine level: A case report

“…Adrenal adenomas are benign neoplasms of the adrenal cortex which can be functional or non-functional. The functional tumors may manifest as Cushing syndrome due to Adrenocorticotrophic hormone (ACTH) independent or dependent hypersecretion of cortisol [ [1] , [2] , [3] ]. Rarely, they are associated with high levels of metanephrine due to co-existing pheochromocytomas either in the ipsilateral or contralateral adrenal gland [ [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] ].…”

Case Report: Functioning adrenal adenoma presenting with atypical imaging findings

“…However, 10-15% of patients with adrenal adenoma might exhibit clinical features of Cushing's syndrome. 2 In the evaluation of adrenal tumors, abdominal ultrasound has a reported sensitivity of 96% for tumors smaller than 2 cm and 100% for tumors larger than 2 cm. Multi-detector computed tomography (MDCT) is the single most useful modality for identification and characterization.…”