Searchable abstracts of presentations at key conferences in endocrinology

ea0049ep71 | Adrenal cortex (to include Cushing's) | ECE2017

Neutrophil-lymphocyte and platelet-lymphocyte ratios as biomarkers in distinguishing adrenocortical adenomas and carcinomas

Solak Mirsala , Kraljevic Ivana , Kastelan Marko , Kakarigi Luka , Dusek Tina , Polovina Tanja Skoric , Balasko Annemarie , Knezevic Nikola , Kastelan Darko

The role of systemic inflammation in promoting tumor progression has been a topic of increasing interest. Neutrophil-lymphocyte ratio (NLR) >5 and platelet-lymphocyte ratio (PLR) >190 used as indicators of inflammation have been reported to have prognostic value in numerous solid tumors. The aim of this retrospective study was to investigate NLR and PLR as biomarkers in distinguishing between adrenocortical adenomas and adrenocortical carcinomas (ACC). Nineteen patient...

ea0063p824 | Adrenal and Neuroendocrine Tumours 3 | ECE2019

Laparoscopic adrenalectomy for adrenocortical carcinoma is not inferior to open adrenalectomy

Kraljevic Ivana , Knezevic Nikola , Kakarigi Luka , Kastelan Marko , Dusek Tina , Solak Mirsala , Polovina Tanja Skoric , Balasko Annemarie , Alduk Ana-Marija , Zidanic Martina , Kastelan Darko

Background: Laparoscopic adrenalectomy (LA) is the standard treatment for benign adrenal tumours but its role in the surgical management of adrenocortical carcinoma (ACC) is controversial. Therefore, the aim of this study was to compare long-term outcome between open adrenalectomy (OA) and LA in the treatment of primary ACC.Methods: This retrospective cohort study included patients with ACC ENSAT stage I-III referred to the Croatian referral centre for a...

ea0037ep73 | Adrenal cortex | ECE2015

The clinical course of patients with adrenal incidentaloma: is it time to reconsider the current recommendations?

Kastelan Darko , Kraljevic Ivana , Dusek Tina , Knezevic Nikola , Solak Mirsala , Gardijan Bojana , Kralik Marko , Poljicanin Tamara , Polovina Tanja Skoric , Kastelan Zaljko

Context: The current guidelines for the management of adrenal incidentaloma advise hormonal and radiological follow-up of the patients for 2–5 years after the initial diagnosis. However, a vast majority of adrenal incidentaloma are non-functional, benign cortical adenomas that require no treatment, so the routine application of the current strategies often results in a number of unnecessary biochemical and radiological investigations.Objective: The ...

ea0070aep42 | Adrenal and Cardiovascular Endocrinology | ECE2020

Prognostic value of Ki-67 and ENSAT stage on recurrence-free survival and overall survival in patients with adrenocortical carcinoma

Kraljevic Ivana , Knezevic Nikola , Kakrigi Luka , Kakarigi Marko , Dusek Tina , Solak Mirsala , Skoric Polovina Tanja , Balasko Annemarie , Zibar Tomšić Karin , Alduk Ana Marija , Kastelan Darko

Background: The adrenocortical carcinoma (ACC) is a rare malignancy with poor outcomes and overall survival of less than 40%. Different prognostic factors were evaluated in patients with ACC. We analyzed overall survival (OS) and recurrence-free survival (RFS) in patients with ACC depending on Ki-67 and ENSAT staging.Methods: We performed a retrospective study on 62 ACC patients treated at the Croatian Referral Center for adrenal gland disorders from 200...

ea0070aep85 | Adrenal and Cardiovascular Endocrinology | ECE2020

The effect of surgeon’s experience on the outcome of patients with ACC

Barac Anja , Knezevic Nikola , Zibar Tomsic Karin , Kastelan Marko , Kakarigi Luka , Alduk Ana-Marija , Matas Nino , Balasko Annemarie , Kraljevic Ivana , Popovac Hrvoje , Skoric-Polovina Tanja , Solak Mirsala , Dusek Tina , Kastelan Darko

Introduction: Adrenocortical carcinoma (ACC)is a rare disease with an unfavourable prognosis. Complete surgical resection of the tumour provides the only chance for long-term cure. The aim of this study was to compare long term outcomes in patients with ACC referred to surgery in an expert adrenal centre (EC) versus nonspecialised centres (NSC).Materials and methods: This retrospective study included 48 patients with ACC, ENSAT stage I-III. All of study ...