Adrenal Tumors

About Adrenal Tumor

Adrenal tumor surgery (adrenalectomy) can be performed by conventional open method or by laparoscopy. Laparoscopic or Laproscopic cancer surgery has several advantages over conventional open surgery with same cure rate. Only surgery is curative in most of the cancers. Additional therapies (chemotherapy & radiotherapy) are mostly supportive. But, many patients and their relatives try to avoid surgery for the fear of the immense trauma for their loved ones, resulting in patient getting wrong or less effective treatment. With laparoscopy the trauma is much less and makes the treatment more acceptable. The Team MACS precisely addresses all these issues and works relentlessly for a better life

DR. SANDEEP NAYAK

MBBS, MRCSEd, DNB (Gen Surg),
MNAMS (Gen Surg), DNB (Surgical Oncology),

Fellowship in Laparoscopic and Robotic Onco-Surgery.
Dr Nayak is one of the leading senior Surgical Oncologists (cancer surgeon) of Bangalore. He is one of the pioneers of Laproscopic (laparoscopic) cancer treatment (surgery). He is the Director of Surgical Oncology at Fortis Hospital, Bangalore.

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The Advantages Of Laparoscopic Surgery Over Conventional Open Surgery Include

What Is Adrenal Glands ?

Adrenal or suprarenal glands are a pair of glands located just above the kidneys in the back of abdomen. These are involved in secretion of various hormones required for normal functioning of the body. The adrenals are two distinct regions; cortex (outer portion) and medulla (the inner portion)

Tumors of adrenal gland are rare. As adrenal gland produces different types of hormones, a tumor arising from this gland may produce excess amount of hormones, leading to various symptoms. These tumors may or may not be cancerous. Also cancers from other organs like lung can spread to adrenals.

Tumors that cause symptoms or those that are larger than 4 cm only need surgery.

Signs And Symptoms

Tumors of adrenal gland can arise from either cortex (outer portion) and medulla (the inner portion). These can be malignant (cancer) or benign. Benign tumors do not spread, whereas malignant ones spread. Both benign and malignant tumors can functional (tumors secreting hormones in abnormally high quantity) or non-functional tumors. Treatment depends on a combination of these factors.

Adrenal tumors are linked some hereditary syndromes like Multiple Endocrine Neoplasia Type 2 and many others. These family members should be examined and evaluated by their doctor every year in order to start timely treatment.

Patients may not have any symptoms if the tumor is non-functional. Depending on the type of tumor and what hormone it secretes, a patient may have one or more of the following symptoms:

    • High blood pressure
    • Heart palpitations
    • Nervousness, feelings of anxiety or panic attacks
    • Headache
    • Low potassium level
    • Excessive perspiration
    • Diabetes
    • Unexplained weight gain or weight loss
    • Weakness
    • Obesity
    • Excessive hair growth
    • Unusual acne
    • Change in libido (sex drive)

    Treatment Of Adrenal Tumor

    All functional tumors (secreting hormones) need to be removed by surgery. Only this can cure the symptoms caused by the secretion of hormones.

    Tumors larger than 4 cm need to be removed by surgery whether it is functional or not. This is because tumors of this size have a higher risk of being cancer. Tumors smaller than 4 cm can be followed up with regular scans to see the change in size.

    This surgery (adrenalectomy) can be performed by conventional open method or by laparoscopy. The laparoscopic surgery has many advantages over open surgery.