Retroperitoneoscopic adrenalectomy in an infant with adrenocortical virilizing tumor

Authors

  • Marcos Tobias-Machado Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo
  • Jairo Cartum Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo
  • Telma Murias Santos-Machado Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo
  • Heloísa Amaral Gaspar Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo
  • Alexandre Sibanto Simões Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo
  • Ricardo Cruz Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo
  • Renata Rodrigues Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo
  • Roberto Vaz Juliano Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo
  • Eric Roger Wroclawski Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

Keywords:

Carcinoma, Laparoscopy, Adrenal, Adrenalectomy, Child, Virilization

Abstract

CONTEXT: Adrenocortical virilizing tumors are rare in the pediatric age group. Laparoscopic surgery is the gold standard method for treatment of adrenal functional tumors under 6 cm in size, in adults. There has been very little use of laparoscopy in children and there is no report of its application in the treatment of adrenal carcinoma in childhood. DESIGN: Case report. CASE REPORT: We performed the first laparoscopic resection using retroperitoneal access for the treatment of an adrenocortical virilizing tumor in a pediatric patient. We believe that retroperitoneoscopic access is a viable and promising option for the treatment of adrenal tumors in children.

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Author Biographies

Marcos Tobias-Machado, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

MD. Attending Doctor in the Discipline of Urology, Faculdade de Medicina do ABC, São Paulo, Brazil.

Jairo Cartum, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

MD. Head of the Department of Pediatric Oncology, Faculdade de Medicina do ABC, São Paulo, Brazil.

Telma Murias Santos-Machado, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

MD. Attending Doctor in the Department of Oncology and Hematology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.

Heloísa Amaral Gaspar, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

Student at the Faculdade de Medicina do ABC, São Paulo, Brazil.

Alexandre Sibanto Simões, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

MD. Attending Doctor in the Discipline of Urology, Faculdade de Medicina do ABC, São Paulo, Brazil.

Ricardo Cruz, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

MD. Attending Doctor in the Department of Surgery, Faculdade de Medicina do ABC, São Paulo, Brazil.

Renata Rodrigues, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

MD. Attending Doctor in the Department of Pediatric Oncology, Faculdade de Medicina do ABC, São Paulo, Brazil.

Roberto Vaz Juliano, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

MD. Attending Doctor in the Discipline of Urology, and Manager of the Urology Laparoscopic Group, Faculdade de Medicina do ABC, São Paulo, Brazil.

Eric Roger Wroclawski, Faculty of Medicine of ABC; Instituto da Criança, Faculty of Medicine, Universidade de São Paulo

MD, PhD. Senior Lecturer and Head of the Discipline of Urology, Faculdade de Medicina do ABC, São Paulo, Brazil.

References

Liou SL, Kay R. Adrenocortical carcinoma in children: review and recent innovations. Urol Clin North Am 2000;27:403-22.

Gill IS, Schweizer D, Nelson D, et al. Laparoscopic vs. open adrenalectomy: Cleveland Clinic experience with 210 cases. J Urol 1999;161:70(abstract).

Valla JS, Colomb F, Son S, Michelini E, Steyaert H, Guilloneau B Mini-invasive surgery of the retroperitoneal space in children. Ann Urol 1999;33:328-32.

Clements RH, Goldstein RE, Holcomb GW. Laparoscopic left adrenalectomy for pheochromocytoma in a child. J Pediatr Surg 1999;34:1408-9.

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Published

2002-05-05

How to Cite

1.
Tobias-Machado M, Cartum J, Santos-Machado TM, Gaspar HA, Simões AS, Cruz R, Rodrigues R, Juliano RV, Wroclawski ER. Retroperitoneoscopic adrenalectomy in an infant with adrenocortical virilizing tumor. Sao Paulo Med J [Internet]. 2002 May 5 [cited 2025 Oct. 16];120(3):87-9. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2694

Issue

Vol. 120 No. 3 (2002)

Section

Case Report

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