Peculiarities and results of surgical treatment of pathients with adrenal tumours

Results of surgical treatment for 58 patients with adrenal tumors were analyzed. The median age of the patients was 50,9 years. Benign tumors were detected in 40 (67,9 %) of the patients, malignant tumors were found in 18 (32,1 %). The overall five-year survival rate was 68,6 %. Unfavorable prognostic factors assessed both before surgery (the presence of pain syndrome and size of the tumor exceeding 4 cm) and after surgery (malignant nature of adrenal body lesion and continuing clinical symptoms for 6 months after the operation) were found. Indications for surgical treatment and surgical approaches were identified depending on the intensity of clinical symptoms and size of the tumor.