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Total adrenalectomy versus subtotal adrenalectomy for bilateral pheochromocytoma: meta-analysis

BJS OPEN (2023)

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Pheochromocytoma recurrence in hereditary disease: does a cortical-sparing technique increase recurrence rate?

Aditya S. Shirali et al.

Summary: This study aimed to investigate the impact of posterior retroperitoneoscopic adrenalectomy on the recurrence of hereditary pheochromocytoma and evaluate the predictors of recurrence. The results showed that the introduction of posterior retroperitoneoscopic adrenalectomy did not affect the recurrence rate of hereditary pheochromocytoma patients. RET M918T mutation was identified as an independent factor associated with increased recurrence risk.

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Summary: Pheochromocytomas and paragangliomas are rare neuroendocrine tumors, and approximately 40% of cases are associated with genetic mutations. These mutations can influence the clinical presentation, prognosis, and follow-up of patients. Genetic testing allows for early detection of hereditary syndromes and close monitoring of high-risk patients.

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Overview of the 2022 WHO Classification of Paragangliomas and Pheochromocytomas

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Summary: This review provides a comprehensive overview of the classification, pathogenesis, biomarkers, and diagnostic criteria of tumors of the adrenal medulla and extra-adrenal paraganglia. It also introduces new genetic predisposition syndromes and changes in tumor nomenclature.

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American Association of Endocrine Surgeons Guidelines for Adrenalectomy Executive Summary

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Summary: This study aims to provide evidence-based recommendations for adrenalectomy to enhance its appropriateness, safety, and effectiveness. A total of 26 recommendations were developed through investigation and research on relevant clinical concerns, aiming to assist surgeons in perioperative adrenal care.

JAMA SURGERY (2022)

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Clinical and Pathological Tools for Predicting Recurrence and/or Metastasis in Patients with Pheochromocytoma and Paraganglioma

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Summary: Pheochromocytomas and paragangliomas are endocrine tumors with unpredictable clinical courses and risks of relapse and metastasis. There is currently no reliable method to predict their metastatic potential. This review compares predictive models and emphasizes the importance of simple and validated tools for defining disease aggressiveness and tailoring treatment plans for individual patients.

BIOMEDICINES (2022)

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Article Surgery

Long-term follow-up of patients undergoing laparoscopic surgery for phaeochromocytoma

Patrick J. O'Dwyer et al.

Summary: This study demonstrates that the long-term oncological outcomes of laparoscopic surgery for patients with phaeochromocytoma are at least equivalent to that of open surgery. The study conducted a follow-up on a consecutive series of patients and found low recurrence rate, no local recurrence, and high long-term disease-free survival rate with laparoscopic surgery.

BJS OPEN (2022)

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Article Surgery

Laparoscopic partial adrenalectomy using near-infrared imaging: the initial experience

Altug Tuncel et al.

Summary: In this study, we found that laparoscopic partial adrenalectomy using indocyanine green dye with near-infrared fluorescence imaging is safe and feasible. This technology enhances identification of vascular structures during surgery, assisting in more precise resection of lesions.

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES (2021)

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Genetics of pheochromocytoma and paraganglioma

Heather Wachtel et al.

Summary: Germline pathogenic variants are found in up to 40% of patients with PCC/PGL, categorized into pseudohypoxia and kinase signaling clusters; somatic driver mutations exist in some of the same genes along with additional genes, understanding the molecular pathogenesis of PCC/PGL is crucial for advancements in diagnosis, surveillance, and novel therapies.

CURRENT OPINION IN ENDOCRINOLOGY DIABETES AND OBESITY (2021)

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Comparison of Pheochromocytoma-Specific Morbidity and Mortality Among Adults With Bilateral Pheochromocytomas Undergoing Total Adrenalectomy vs Cortical-Sparing Adrenalectomy

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Preoperative genetic testing in pheochromocytomas and paragangliomas influences the surgical approach and the extent of adrenal surgery

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European Society of Endocrinology Clinical Practice Guideline for long-term follow-up of patients operated on for a phaeochromocytoma or a paraganglioma

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EUROPEAN JOURNAL OF ENDOCRINOLOGY (2016)

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ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions

Jonathan A. C. Sterne et al.

BMJ-BRITISH MEDICAL JOURNAL (2016)

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ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions

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Recurrence and functional outcomes of partial adrenalectomy: A systematic review and meta-analysis

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INTERNATIONAL JOURNAL OF SURGERY (2015)

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Outcomes of adrenal-sparing surgery or total adrenalectomy in phaeochromocytoma associated with multiple endocrine neoplasia type 2: an international retrospective population-based study

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Spectrum and Prevalence of FP/TMEM127 Gene Mutations in Pheochromocytomas and Paragangliomas

Li Yao et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2010)

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Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement

David Moher et al.

ANNALS OF INTERNAL MEDICINE (2009)

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Estimated risk of pheochromocytoma recurrence after adrenal-sparing surgery in patients with multiple endocrine neoplasia type 2A

Reza Asari et al.

ARCHIVES OF SURGERY (2006)

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Partial adrenalectomy: The National Cancer Institute experience

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UROLOGY (2005)

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Article Surgery

Partial versus total adrenalectomy by the posterior retroperitoneoscopic approach: Early and long-term results of 325 consecutive procedures in primary adrenal neoplasia

MK Walz et al.

WORLD JOURNAL OF SURGERY (2004)

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Article Surgery

Laparoscopic partial or cortical-sparing adrenalectomy by dividing the adrenal central vein

Y Ikeda et al.

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES (2001)

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Meta-analysis of observational studies in epidemiology - A proposal for reporting

DF Stroup et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2000)

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