Erschienen in:
01.01.2016 | Consensus Statement
Management of adrenocortical carcinoma: a consensus statement of the Italian Society of Endocrinology (SIE)
verfasst von:
A. Stigliano, I. Chiodini, R. Giordano, A. Faggiano, L. Canu, S. Della Casa, P. Loli, M. Luconi, F. Mantero, M. Terzolo
Erschienen in:
Journal of Endocrinological Investigation
|
Ausgabe 1/2016
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Excerpt
The rarity (0.5–2 cases per million per year) and aggressiveness of adrenocortical carcinoma (ACC) have limited our knowledge of the biological processes underlying its development and the design of specific and effective therapies. ACC is often associated to poor prognosis, with a mean 5-year survival rate between 16 and 47 %, dramatically dropping to 5–10 % in metastatic disease. Prognosis mainly depends on tumor stage and feasibility of radical surgery. At present, complete surgical removal of the tumor, possibly associated to adjuvant mitotane therapy, represents the best treatment option for ACC. Treatment of advanced ACC remains disappointing for limited efficacy and significant toxicity [
1‐
3]. …