

Types of Adrenal Cancer Surgery

Understanding the Adrenal Glands
• Paired endocrine glands located on top of each kidney.
• Produce vital hormones like cortisol, aldosterone, adrenaline, and androgens.
• Adrenal cancer originates when cells within these glands grow abnormally.


Types of Adrenal Tumors
• Adrenocortical Adenomas: Benign tumors, often small and non-functional.
• Adrenocortical Carcinomas: Malignant tumors; can be aggressive and spread.
• Pheochromocytomas: Tumors of the adrenal medulla, often secreting excess adrenaline.
• Metastases: Cancers that have spread from other parts of the body.


Indications for Surgical Intervention
• Malignant tumors (adrenocortical carcinoma) are the primary candidates.
• Large or hormone-secreting benign tumors causing symptoms (e.g., Cushing's syndrome, Conn's syndrome).
• Tumors with concerning features on imaging suggesting potential malignancy.
• Prevention for certain high-risk lesions.


Adrenalectomy: The Mainstay of Treatment
• Adrenalectomy is the surgical removal of one or both adrenal glands.
• It is the primary curative treatment for adrenal cancer.
• The goal is complete tumor resection to achieve cure and prevent recurrence.
• Essential for accurate staging and definitive diagnosis.


Surgical Approaches: Minimally Invasive Techniques
• Laparoscopic Adrenalectomy: Utilizes small incisions, a camera (laparoscope), and specialized instruments.
• Robotic-Assisted Adrenalectomy: Offers enhanced 3D vision, dexterity, and precision for complex procedures.
• Benefits include faster recovery, reduced pain, shorter hospital stays, and less scarring.


Open Adrenalectomy
• Involves a larger incision through the abdomen, flank, or back.
• Typically reserved for very large tumors, locally advanced cancers, or when minimally invasive approaches are not feasible.
• Allows for direct visualization and manipulation of large or difficult-to-access masses.

The Crucial Role of Endocrine Surgery
• Adrenal surgery is a highly specialized field within Endocrine Surgery.
• Requires in-depth knowledge of endocrine anatomy, physiology, and surgical techniques.
• Expert management of hormone imbalances before, during, and after surgery is critical.
• Action Cancer Hospital is proud to have leading specialists in Endocrine Surgery for optimal patient outcomes.


Conclusion and Next Steps
• Adrenal cancer surgery is a complex but effective treatment when performed by experienced teams.
• Minimally invasive techniques are increasingly preferred, offering significant patient benefits.
• Choosing a center with expertise in Endocrine Surgery is vital for success.
• Consult with our specialists at Action Cancer Hospital to discuss personalized treatment plans.


