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Improving the system for managing cancer pain
Author(s) -
Lovell M. R.,
Phillips J.,
Luckett T.,
Agar M.
Publication year - 2015
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.12677
Subject(s) - palliative care , medicine , family medicine , northern territory , clinical trial , gerontology , library science , history , nursing , archaeology , computer science
viously reported three cases of phaeochromocytomas (original tumour size between 5.5 and 6.5 cm) recurring 3–4 years after apparently successful laparoscopic adrenalectomies, also thought to be secondary to laparoscope-associated tumour seeding. Furthermore, a recent study has reported five further cases of peritoneal seeding after laparoscopic surgery for phaeochromocytomas; three of these patients had large tumours between 7.0 and 11.0 cm, while the remaining two patients had tumours sized 4 cm and 2.5 cm respectively. Together, these observations suggest that laparoscopic adrenalectomy carries a potential risk of tumour seeding from phaeochromocytomas, particularly with large tumours, and support the current Endocrine Society guidelines, which recommend open resection for large (e.g. >6 cm) or invasive phaeochromocytomas to ensure complete tumour resection, prevent tumour rupture and avoid local recurrence.