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Suprarenal tumors Role of RT. Mahmoud ElGantiry Professor of Radiation Oncology. Role of Radiotherapy. Rare tumors. Retrospective studies. Small number of patients. Not Radiosensetive tumors. Role of Radiotherapy. ADJUVANT: controversial.

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suprarenal tumors role of rt

Suprarenal tumorsRole of RT

Mahmoud ElGantiry

Professor of Radiation Oncology

role of radiotherapy
Role of Radiotherapy
  • Rare tumors.
  • Retrospective studies.
  • Small number of patients.
  • Not Radiosensetive tumors.
role of radiotherapy3
Role of Radiotherapy

ADJUVANT:

  • controversial.
  • ?? adjuvant treatment after complete resection for residual microscopic disease.
  • A 10-year crude survival rate of 37% has been reported after combined surgery and irradiation for functioning adrenal carcinomas.
  • However, in these tumors an earlier stage at diagnosis gives a better chance of complete removal.
role of radiotherapy4
Role of Radiotherapy

POSTOPERATIVE RT:

  • ?? Treatment of residual macroscopic disease and nodal.
  • Long-term objective tumor control.
role of radiotherapy5
Role of Radiotherapy

PALLIATION:

  • Inoperable:
  • Distant metastases e.g. Bone metastases.
    • Good response.
general management
General Management

Surgery

  • The primary treatment for adrenocortical carcinoma.
  • Curative surgery is feasible in only a few patients because of the size of tumor at the time of diagnosis.
  • However, complete resection is the only treatment that offers long-term disease-free survival.
  • Surgery can be used as a palliative procedure in patients with incurable functional tumors; partial resections are attempted to improve endocrine manifestations that cannot be controlled medically and to relieve local symptoms.
  • Careful attention must be given to preoperative, intraoperative, and postoperative steroid replacement, because the contralateral adrenal gland is often atrophied.