Abstract:
:Adrenal masses are a common problem affecting 3-7% of the population. The majority turn out to be benign adrenocortical adenomas, which may be functional or non-functional. Much more rarely, these masses represent a primary adrenal carcinoma. It is becoming increasingly recognized that of the benign functioning adenomas or hyperplasias, the majority will hypersecrete aldosterone and this will be more frequently detected when hypertensive populations are screened for this disease. In contrast, the incidence of primary adrenocortical carcinoma has remained steady and for this disease, surgery represents the mainstay of treatment. The advent of laparoscopic adrenal surgery has lowered the threshold size for recommending surgery for asymptomatic adrenal masses and as such, an increased proportion of adrenocortical cancers are being resected and detected at an earlier stage. Recent progress has been made in our understanding of the key genetic changes which underpin the biology of this disease. Progression from adrenal adenoma to carcinoma involves a monoclonal proliferation of cells which, among other defects, have undergone chromosomal duplication at the 11p15.5 locus leading to overexpression of the IGF2 gene and abrogation of expression of the CDKN1C and H19 genes. TP53 is involved in progression to carcinoma in a subset of patients and the frequency of ACTH receptor deletion needs to be more fully explored. Other key oncogenes and tumour suppressor genes remain to be identified although the chromosomal loci in which they lie can be identified at 17p, 1p, 2p16 and 11q13 for tumour suppressor genes and chromosomes 4, 5 and 12 for oncogenes.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Sidhu S,Gicquel C,Bambach CP,Campbell P,Magarey C,Robinson BG,Delbridge LWdoi
10.1046/j.1445-2197.2003.02746.xkeywords:
subject
Has Abstractpub_date
2003-09-01 00:00:00pages
727-38issue
9eissn
1445-1433issn
1445-2197pii
2746journal_volume
73pub_type
杂志文章,评审abstract:BACKGROUND:Limited health resources necessitate prioritization for access to elective cholecystectomy in New Zealand. We aimed to develop and validate a patient questionnaire for determining the effect of gallstone disease on quality of life (QOL) and evaluate its potential role in appraising prioritization and outcome...
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abstract:BACKGROUND:Stabbing and firearm trauma causing severe injuries (injury severity score (ISS) >15) and death is uncommon in Australia. The present study describes the experience with stabbings and firearm trauma causing severe injuries at a major Australian urban trauma centre. METHODS:Data from a prospectively generate...
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journal_title:ANZ journal of surgery
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更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 传,历史文章,杂志文章
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更新日期:2019-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-06-01 00:00:00
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journal_title:ANZ journal of surgery
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更新日期:2015-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-05-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2002-07-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04719.x
更新日期:2008-11-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-1433.2004.03149.x
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:To assess the outcomes of patients undergoing percutaneous renal artery embolization (PRAE) prior to radical nephrectomy. METHODS:We performed retrospective chart review of patients undergoing PRAE in Auckland Public Hospital from January 2004 to December 2011. PRAE was performed under epidural anaesthesia ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2014-07-01 00:00:00
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更新日期:2020-12-28 00:00:00
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journal_title:ANZ journal of surgery
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journal_title:ANZ journal of surgery
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pub_type: 传,历史文章
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更新日期:2007-12-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2006-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/ans.13979
更新日期:2018-05-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.13497
更新日期:2016-07-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13641
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:This study aimed to investigate incidence of surgical site infection (SSI) following the surgery of intra-articular fractures of distal femur. METHODS:Between July 2014 and December 2017, inpatient medical records of consecutive patients who had intra-articular fractures of distal femur treated by open redu...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15263
更新日期:2019-06-01 00:00:00