Adrenohepatic fusion: Adhesion or invasion in primary virilizant giant adrenal carcinoma? Implications for surgical resection. Two case report and review of the literature

Highlights • Since its first description, by Dolan, in 1968, called adrenal dystopia, described as the union between the adrenal gland and the liver parenchyma, the adreno-hepatic fusion (AHF) counts on less than 90 articles in PubMed. • In our experience, in spite of a little known entity, AHF may...

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Published in:International journal of surgery case reports 2016-01, Vol.18, p.24-29
Main Authors: Alastrué Vidal, Antonio, Navinés López, Jordi, Julián Ibáñez, Juan Francisco, De la Ossa Merlano, Napoleón, Botey Fernandez, Mireia, Sampere Moragues, Jaume, Sánchez Torres, Maria del Carmen, Barluenga Torres, Eva, Fernández-Llamazares Rodríguez, Jaime
Format: Article
Language:English
Subjects:
Case Report
Surgery
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Summary:Highlights • Since its first description, by Dolan, in 1968, called adrenal dystopia, described as the union between the adrenal gland and the liver parenchyma, the adreno-hepatic fusion (AHF) counts on less than 90 articles in PubMed. • In our experience, in spite of a little known entity, AHF may be a primary pathological entity that largely determines the surgical behavior, which in our experience results in terms of long-term and disease-free survival for the patient. • The absence of capsulla between the liver and the adrenal gland means that the lesion must be resected as a whole, even with right hepatectomy, in order to extirpate all the microscopic intermingling between the two parenchymas. • This case report underlines the importance of the detection of adrenohepatic fusion before the intervention, whose presence may compromise both resectability and survival. • We present two consecutive cases of adrenal carcinoma with AHF treated in a reference unit of liver surgery, emphasizing the key points that helped improve the disease-free survival.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2015.10.012