MODERN APPROACH TO DIAGNOSTICS AND TREATMENT OF MALIGNANT TUMORS OF THE ADRENALS

Twenty-six patients with malignant tumors of the adrenal glands were examined, 20 of them were operated. Long-term results of surgical treatment were studied in the period from 2 to 9 years. Patients underwent complex clinical, laboratory and instrumental examination. Adrenocortical carcinomas are more often hormonal-inactive and occur without characteristic clinical manifestations. The use of fine needle aspiration biopsy is justified as a diagnostic method. If the adrenal cancer is suspected of a malignant tumor, an "open" adrenalectomy with a tumor and a dissection of the regional lymph nodes using thoracophrenolumbutic access should be preferred, with adrenal gland suspected of open adrenalectomy using "Mercedes" access. Timely surgical treatment of patients with adrenal tumors is effective, determines the prognosis of the disease and the quality of life.

злокачественные опухоли надпочечников, диагностика, лечение