{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T16:08:22Z","timestamp":1655914102885},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"47","license":[{"start":{"date-parts":[[2020,11,22]],"date-time":"2020-11-22T00:00:00Z","timestamp":1606003200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,11,22]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold> A mell\u00e9kvese-haemangiom\u00e1k ritk\u00e1n el\u0151fordul\u00f3, nehezen\n diagnosztiz\u00e1lhat\u00f3 elv\u00e1ltoz\u00e1sok, melyek seb\u00e9szi elt\u00e1vol\u00edt\u00e1sa gyakran nagy fok\u00fa\n technikai j\u00e1rtass\u00e1got ig\u00e9nyel. Vizsg\u00e1latunkban egy 69 \u00e9ves n\u0151beteg eset\u00e9t\n ismertetj\u00fck, akin\u00e9l fogy\u00e1s \u00e9s hypertonia miatt v\u00e9gzett kivizsg\u00e1l\u00e1s\n mell\u00e9kveseciszt\u00e1t felt\u00e9telezett, valamint felvetette adrenocorticalis carcinoma\n jelenl\u00e9t\u00e9t. A preoperat\u00edv kivizsg\u00e1l\u00e1s sor\u00e1n (CT \u00e9s MRI) a felmer\u00fcl\u0151 malignit\u00e1s\n miatt seb\u00e9szi elt\u00e1vol\u00edt\u00e1s v\u00e1lt sz\u00fcks\u00e9gess\u00e9. A kezdeti laparoszk\u00f3pos\n transperitonealis technik\u00e1t k\u00f6vet\u0151en a bonyolult elhelyezked\u00e9s, illetve v\u00e9rz\u00e9s\n miatt kis m\u00e9ret\u0171, paramedi\u00e1n metsz\u00e9sb\u0151l konvert\u00e1ltunk, \u00e9s bal oldali nyitott\n adrenalectomi\u00e1t v\u00e9gezt\u00fcnk, valamint a vese caudalis r\u00e9sz\u00e9r\u0151l egy\n folyad\u00e9ktartalm\u00fa k\u00e9pletet t\u00e1vol\u00edtottunk el. A sz\u00f6vettani feldolgoz\u00e1s a vese\n k\u00f6z\u00e9ps\u0151 harmad\u00e1nak magass\u00e1g\u00e1b\u00f3l reszek\u00e1lt ciszt\u00e1t, valamint a cranialis\n lokaliz\u00e1ci\u00f3r\u00f3l elt\u00e1vol\u00edtott, ritka el\u0151fordul\u00e1s\u00fa mell\u00e9kvese-haemangiom\u00e1t igazolt.\n A ritk\u00e1n el\u0151fordul\u00f3 \u00e9s t\u00f6bbnyire bizonytalan preoperat\u00edv diagn\u00f3zissal b\u00edr\u00f3\n mell\u00e9kvese-haemangiom\u00e1k seb\u00e9szi elt\u00e1vol\u00edt\u00e1sa nagy m\u00e9ret\u00fck, kompresszi\u00f3ra val\u00f3\n hajlamuk, valamint malignit\u00e1st ut\u00e1nz\u00f3 megjelen\u00e9s\u00fck miatt is indokolt. A\n laparoszk\u00f3pos transperitonealis adrenalectomia extra nagy m\u00e9ret\u0171 (>10 cm ) \u00e9s\n malignus tumorok, illetve nagy m\u00e9ret\u0171 haemangiom\u00e1k elt\u00e1vol\u00edt\u00e1s\u00e1ra is alkalmas\n elj\u00e1r\u00e1s. A mell\u00e9kvese-haemangiom\u00e1k seb\u00e9szi reszekci\u00f3ja nagyfok\u00fa k\u00f6r\u00fcltekint\u00e9st\n ig\u00e9nyel, megn\u00f6vekedett v\u00e9rz\u00e9shajlamuk, valamint a gyakori, nagyerekhez val\u00f3\n k\u00f6zeli elhelyezked\u00e9s miatt a konverzi\u00f3 vesz\u00e9lye is jelent\u0151sen n\u00f6vekszik. Orv\n Heti. 2020; 161(47): 2006\u20132010.<\/jats:p>\n Summary.<\/jats:bold> Adrenal hemangiomas are rare. Their preoperative diagnosis\n is usually vague, and often require advanced surgical skills for resection. We\n herein describe the case of a 69-year-old female patient initially presented\n with weight loss and hypertension. Preoperative Computed Tomography (CT) and\n magnetic resonance imaging (MRI) confirmed the presence of an adrenal cyst and\n possible adrenocortical carcinoma requiring surgical intervention. After initial\n laparoscopic transperitoneal approach, conversion to open surgery through a\n small paramedian incision was carried out due to the lesion\u2019s problematic\n location and continuous intraoperative bleeding. Open adrenalectomy along with\n the removal of a fluid-bearing lesion from the caudal pole of the kidney was\n performed. Histology confirmed a cyst removed from the mid-third, and a rare\n occurring adrenal hemangioma from the cranial part of the kidney. Adrenal\n hemangiomas usually bear uncertain preoperative diagnosis. Surgical removal\n becomes necessary in case of increasing size, potential to compress neighbouring\n structures and possible malignancy. Laparoscopic transperitoneal adrenalectomy\n is a feasible approach for the removal of extra large (>10 cm) and even\n malignant lesions as well as for large hemangiomas. Surgery of adrenal\n hemangiomas require a high level of caution, moreover, their potential for\n bleeding and frequent vicinity to nearby vascular structures may increase the\n need for open surgery. Orv Hetil. 2020; 161(47): 2006\u20132010.<\/jats:p>","DOI":"10.1556\/650.2020.31891","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T01:06:04Z","timestamp":1606266364000},"page":"2006-2010","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Ritka el\u0151fordul\u00e1s\u00fa, nagy m\u00e9ret\u0171 mell\u00e9kvese-haemangioma sikeres seb\u00e9szi kezel\u00e9se"],"prefix":"10.1556","volume":"161","author":[{"given":"Aur\u00e9l","family":"Ottlak\u00e1n","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Semmelweis u. 8., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Paszt","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Semmelweis u. 8., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Tiszlavicz","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Pathologiai Int\u00e9zet, Szegedi Tudom\u00e1nyegyetem, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rton","family":"Vas","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Semmelweis u. 8., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csenge","family":"Vass","sequence":"additional","affiliation":[{"name":"3 Szegedi Tudom\u00e1nyegyetem, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"L\u00e1z\u00e1r","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Semmelweis u. 8., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/47\/article-p2006.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/47\/article-p2006.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:58Z","timestamp":1633914778000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/47\/article-p2006.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,22]]},"references-count":0,"journal-issue":{"issue":"47"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31891","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,22]]}}}