Materiały źródłowe

• #1 Advanced Adrenocortical Carcinoma: From Symptoms Control to Palliative Care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9739560/

  Adrenocortical cancer (ACC) is a rare malignancy, often diagnosed late and with a poor prognosis. […] Even in cases of advanced disease, multimodal treatments (chemotherapy and mitotane, surgery and/or radiotherapy) and skillful management of the medical complications of ACC can ensure significant improvements in survival. […] There is now robust evidence that the early integration of supportive and palliative care in standard oncological management may relieve cancer patients burden, mediate aggressive treatments and improve quality of life, and not only in the end-of-life period. […] A multidisciplinary team, with the primary focus on life-prolonging management, is the standard of care for patients with ACC: it includes periodical meetings involving, at the least, endocrinologists, medical and radiation oncologists, surgeons, pathologists, radiologists and genetic counsellors.

• #2 A review of our work in adrenal disease for endocrinology providers | University of Michigan Health

  https://www.uofmhealth.org/endocrinologydiabetes-entire-brief-devoted-adrenal-diseases

  Adrenal cancer or adrenal cortical carcinoma (ACC) is one of the rarest and most deadly cancers. The only approved treatment for ACC is a derivative of a pesticide, which may not be well-tolerated by all patients. […] Through clinical care, research, advocacy and education, clinicians and scientists in the U-M adrenal cancer program are working to overcome such obstacles. […] U-M currently treats more adrenal cancer patients and trains more specialists than any other institution in the world. […] Part of the U-M Endocrine Oncology Program, our Adrenal Cancer Clinic is one of only a handful of multidisciplinary referral centers for ACC in the world. […] In addition to caring for patients in the clinic, the U-M adrenal team piloted a Remote Second Opinion Program to improve access to multidisciplinary care for patients who are not able to travel to U-M.

• #3

  https://winshipcancer.emory.edu/cancer-types-and-treatments/adrenal-cancer/

  Adrenal cancer is rare and difficult to manage. […] Winship Cancer Institute of Emory University treats more adrenal cancer than any other cancer center in Georgia. […] We are experts in the diagnosis and care of adrenal cancer and understand that each case is unique. […] The physicians on your care team including your pathologist, medical oncologist, radiation oncologist and surgeon are experts not only in cancer but in adrenal cancer specifically. […] Your individual treatment plan depends on an accurate and precise diagnosis. […] We will work on the specific stage and characteristics of your cancer to develop a treatment plan. […] With more clinical trials than any other cancer center in the state including Phase I trials, which feature the newest therapies you’ll have access to the most advanced and innovative treatments and adrenal cancer resources.

• #4 Treatment for Adrenal Cancer | Fred Hutchinson Cancer Center

  https://www.fredhutch.org/en/diseases/adrenal-cancer/treatment.html

  Fred Hutchinson Cancer Center treats the full range of cancers that can affect endocrine glands, including your adrenal glands. Our endocrine tumor experts are UW Medicine doctors who also see patients at University of Washington Medical Center (UWMC). They work together closely to provide coordinated, world-class treatment for you. […] We have surgeons, endocrinologists, pathologists and medical and radiation oncologists who specialize in adrenal disease; the most advanced diagnostic, treatment and recovery programs; and extensive support. […] Pooling their knowledge, skills and experience, your specialists recommend a treatment plan to get the best possible results in your individual situation. […] We view treatment as a collaborative effort. Your personal team includes more than your adrenal cancer doctors and nurses. Additional experts who specialize in treating people with cancer will be involved if you need them experts like a palliative care professional, social worker, registered dietitian or pharmacist.

• #5 Adrenal Gland Tumors: Diagnosis and Treatment | NewYork-Presbyterian

  https://www.nyp.org/cancer/endocrine-cancer/adrenal-gland-tumors

  The adrenal glands two triangular shaped glands on top of either kidney produce hormones that control blood pressure, help regulate metabolism, and burn protein and fat, among other things. […] Malignant adrenal tumors, though rare, can spread throughout the body and remain one of the most deadly cancers. […] NewYork-Presbyterians endocrine cancer team provides advanced care to patients with adrenal gland tumors. […] Each patient has a dedicated team of endocrinologists, endocrine surgeons, medical and radiation oncologists, and others with experience treating people with adrenal gland tumors. […] We provide genetic counseling and testing for patients and their family members with genetic syndromes such as Li-Fraumeni syndrome which is associated with an increased risk of developing adrenal cancer. […] The only cure currently available for adrenal cancer is surgical removal. […] Whenever possible, our surgeons use minimally invasive techniques that allow you to heal faster with fewer scars.

• #6 Adrenal cancer | UK Healthcare

  https://ukhealthcare.uky.edu/services/adrenal-cancer

  Markey’s adrenal cancer team provides expert consultation and ongoing care for patients with cancers of the adrenal gland. […] Using state-of-the-art technology and leading-edge medical and surgical interventions, the adrenal cancer team provides advanced and timely diagnosis and individualized, ongoing care for patients. Each patient is cared for by a team of specialists who meet regularly to discuss individual patient cases and treatment plans. This multidisciplinary team will work with you and your doctor to coordinate a care plan designed to offer the best outcomes. […] Clinical trials are research studies aimed at evaluating medical, surgical or behavioral interventions to determine if a new treatment is safe and effective. At Markey, we are advancing cancer care and research to prevent, detect and treat one patient at a time. As a patient at Markey, you have a team of people looking at your individual case, applying the most recent cancer knowledge to give you the best chance of survival.

• #7

  https://winshipcancer.emory.edu/cancer-types-and-treatments/adrenal-cancer/treatment.php

  Adrenal cancer treatment often involves surgery. […] Adrenal cancer is rare, but as the only National Cancer Institute-designated Comprehensive Cancer Center in Georgia, we see it often. […] Besides treating the most adrenal cancers in the state, Winship Cancer Institute of Emory University also has an unparalleled genitourinary oncology research program. […] The genitourinary cancer experts at Winship use the latest technology and advanced testing to analyze your adrenal cancer at every level. […] Every patient we see with adrenal cancer is reviewed by our tumor board, where a team of physicians including surgeons, pathologists, radiation oncologists, medical oncologists and more meets to determine the best course of treatment for your cancer. […] This multidisciplinary approach enables your care team to develop a coordinated plan to treat your cancer as aggressively as possible while keeping side effects to a minimum.

• #8 Treating Adrenal Cancer | Adrenal Cancer Treatment | American Cancer Society

  https://www.cancer.org/cancer/types/adrenal-cancer/treating.html

  If you’ve been diagnosed with adrenal cancer, your care team will discuss treatment with you. […] It’s important to weigh the benefits of each option against the possible risks and side effects, and an experienced care team can help. […] Depending on the type and stage of your cancer, you might need more than one type of treatment. […] You might have many other specialists on your treatment team as well, including physician assistants (PAs), nurse practitioners (NPs), nurses, psychologists, social workers, rehabilitation specialists, and other health professionals. […] Its important to discuss all treatment options, including their goals and possible side effects, with your doctors to help make the decision that best fits your needs. […] Be sure to talk to your cancer care team about any method you are thinking about using. They can help you learn what is known (or not known) about the method, which can help you make an informed decision.

• #9 Adrenal cancer – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/adrenal-cancer/diagnosis-treatment/drc-20446405

  Our caring team of Mayo Clinic experts can help you with your adrenal cancer-related health concerns […] Treatment for adrenal cancer often includes surgery to remove the adrenal gland. Other treatments also might be used in some situations. Those treatments include radiation therapy and medicines, such as chemotherapy and immunotherapy. […] Surgery for adrenal cancer typically involves removing the entire adrenal gland. This procedure is called an adrenalectomy. The surgery is done for several reasons, including to: […] It’s common for adrenal cancer to spread outside of the adrenal gland. If the surgeon finds evidence that the cancer has spread to nearby organs, such as to the liver or kidney, parts or all of those organs also might need to be removed. […] Radiation therapy treats cancer with powerful energy beams. The energy can come from X-rays, protons or other sources. Radiation therapy sometimes is used after adrenal cancer surgery to kill any cells that might be left behind. It also can help ease pain and other symptoms of cancer that has spread to other parts of the body, such as the bones.

• #10 Treatment Choices by Stage of Adrenal Cancer | American Cancer Society

  https://www.cancer.org/cancer/types/adrenal-cancer/treating/by-stage.html

  Surgery is the main treatment for stage I and stage II adrenal cancers. The entire adrenal gland will be removed. […] For many people, no further treatment is necessary. If the tumor had high risk features, treatment with radiation and/or mitotane may be given after surgery to help keep the cancer from coming back. […] When treatment given after surgery has removed all visible cancer, it is called adjuvant therapy. The goal of adjuvant therapy is to kill any cancer cells that may have been left behind but are too small to be seen. Killing these cells may lower the chance the cancer will come back later. […] Surgery is the main treatment for stage III adrenal cancer. The goal of surgery is to remove all of the cancer. […] After surgery, adjuvant therapy with radiation and/or mitotane may be given to help keep the cancer from coming back.

• #11 Adrenal Cancer Treatment | Endocrine Oncology Program | University of Michigan Rogel Cancer Center

  https://www.rogelcancercenter.org/adrenal-cancer/learn-about-adrenal-cancer/treatment

  Surgery is the treatment of choice if possible. […] If patients are able to undergo surgery, it is extremely important that your surgery is performed by a surgeon experienced in the treatment of adrenal cancer (most surgeons see one adrenal cancer patient in a lifetime), as the covering of the tumor must not be penetrated during surgery and a wide margin of normal tissue around the tumor should be included to ensure complete resection and minimize the chance for local recurrence. […] Appropriate preoperative evaluation and planning is of the utmost importance in adrenal cancer patients to assure optimal outcome. […] Adrenal cancer is a very rare cancer different from many other types of cancers. It must be carefully and completely removed. […] An open approach (through a larger incision along the rib cage or along the midline of the abdomen) allows the surgeon to remove a rim of normal (benign) tissue around the tumor more easily to help decrease rates of local recurrence and spread within the abdomen and has been found to improve survival in patients with adrenal cancers which have not already spread outside the adrenal gland.

• #12 Adrenal Tumor Surgery | UC Davis Comprehensive Cancer Center

  https://health.ucdavis.edu/cancer/specialties/surgical/adrenal.html

  UC Davis Comprehensive Cancer Center offers comprehensive, multidisciplinary care for patients with adrenal tumors including adrenocortical carcinoma, adrenal adenomas, pheochromocytomas, aldosteronomas and cortisol-producing tumors (Cushings syndrome) aimed at preservation of critical functions, prevention of disease recurrence and optimization of quality of life. […] Your team of cancer specialists will include experts in endocrine surgery and surgical oncology, who closely collaborate with other health care professionals, including our surgical oncology clinical nurses, medical oncologists, radiologists and endocrinologists. […] An adrenalectomy, or surgery to remove the adrenal gland, is the primary method of treatment for adrenocortical cancer and functioning adrenal tumors. […] Most tumors are typically removed via minimally invasive (laparoscopic) surgery. Patients who have a laparoscopic adrenalectomy are often in the hospital overnight. […] Depending on the stage of cancer and your specialists recommendation, surgery may be followed by radiation and/or chemotherapy treatments.

• #13 Adrenal Cancer Treatment | Endocrine Oncology Program | University of Michigan Rogel Cancer Center

  https://www.rogelcancercenter.org/adrenal-cancer/learn-about-adrenal-cancer/treatment

  After surgery, the U-M Multidisciplinary Endocrine Oncology Tumor Board reviews the surgeons operative report and the pathology report. […] Decisions regarding further treatment are made. Treatment may include one or more of the following: external beam radiation therapy, mitotane, chemotherapy. […] If mitotane is started, labs to check mitotane levels, thyroid function and liver function will be checked frequently and replacement steroids will also be started. […] U-M physicians will work closely with a patient’s primary care physician and other physicians (oncologists) near their home to ensure they are receiving optimal care.

• #14 Adrenal Cancer: Causes, Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/cancer/adrenal-cancer

  Your doctor will recommend a treatment plan based on your case and your overall health. […] Surgery. This is the only treatment that may be able to cure you. Your doctor may take out one or both of your adrenal glands. If the disease has spread, they may also need to take out nearby lymph nodes — small glands that are part of your immune system, your body’s defense against germs. […] Radiation. This treatment can kill cancer cells or keep a tumor from growing. You might have it after surgery. Your doctor may beam radiation into your body through an outside machine, put radioactive seeds near the tumor, or insert a sealed radioactive capsule or wire into it. […] Medications. Doctors most often prescribe a drug called mitotane (Lysodren), which blocks your adrenal gland from making hormones. It also destroys cancer cells. Your doctor may recommend this after surgery if there’s a risk that the tumor may return.

• #15 Adrenal Cortical Cancer | UC Davis Comprehensive Cancer Center

  https://health.ucdavis.edu/cancer/cancer-types/adrenal.html

  The UC Davis Comprehensive Cancer Center provides comprehensive, multidisciplinary care for patients with all stages of adrenal cortical cancer. […] Treatment of adrenocortical cancer begins with the surgical removal of the tumor and the associated adrenal gland. Nearby lymph nodes and tissues may also be removed. Surgical removal is the only treatment for the early stages of this cancer. An individual diagnosed at a later stage may also require radiation and/or chemotherapy. […] Mitotane, a drug that is a chemical relative of the pesticide DDT, has been shown to reduce the risk of tumor recurrence. For advanced or metastatic ACC, the current standard chemotherapy regimen is a combination of drugs including doxorubicin, cisplatin, etoposide and mitotane.

• #16 Treatment Choices by Stage of Adrenal Cancer | American Cancer Society

  https://www.cancer.org/cancer/types/adrenal-cancer/treating/by-stage.html

  When the cancer cannot be safely removed (unresectable) or has spread to other parts of the body (stage IV), the goal of treatment is to improve the patients symptoms and quality of life. […] Some doctors may still recommend surgery to remove as much of the tumor as possible. This type of surgery is called debulking. […] Recurrence may be treated with surgery to remove the cancer or with radiation to destroy the cancer. […] When this happens and these treatments are no longer controlling the cancer, a focus on achieving a good quality of life may be the best choice. There are many other ways your doctor can help maintain your quality of life and control your symptoms. This means that it is important that you tell your doctor how you are feeling and what symptoms you are having. This type of treatment is called palliative care.

• #17 Post Adrenal Cancer Surgery Care | Life After Adrenal Cancer Surgery | University Hospitals

  https://www.uhhospitals.org/services/cancer-services/genitourinary-cancer/adrenal-cancer/what-to-expect-after-having-surgery

  Once a surgical procedure has been selected for adrenal disease treatment, the medical team at UH Seidman Cancer Center’s Urologic Oncology Center strives to educate the patient regarding how the procedure could affect his or her postsurgery lifestyle. […] While individual reactions from patients may vary depending on the stage and type of adrenal disease and the surgical procedure used, there are a few general side effects that patients should be aware of during the recovery period. […] The first day following surgery, UH Seidman Cancer Center staff members typically urge patients to get out of their hospital bed, sit in a chair or even walk around the hospital hallways. […] Walking helps the lungs expand, which supports a quicker recovery. […] Patients should continue using their incentive spirometer at least 10 times an hour while awake the day following surgery.

• #18 Post Adrenal Cancer Surgery Care | Life After Adrenal Cancer Surgery | University Hospitals

  https://www.uhhospitals.org/services/cancer-services/genitourinary-cancer/adrenal-cancer/what-to-expect-after-having-surgery

  A recovering patient can expect to have a urinary foley catheter, which is placed inside the patient while he or she is in the operating room, draining his or her bladder for approximately one to two days after surgery. […] A team member from UH Seidman Cancer Center will administer antibiotics and any pain medication through the patient’s IV. […] Patients who are beginning to feel more like themselves following the procedure can take sips of liquids. […] Patients may leave the hospital and return home once their pain is controlled exclusively by oral medication, their laboratory tests and vital signs are stable and they are eating a solid food diet. […] In general, no heavy lifting or strenuous activity is allowed during the first few weeks following surgery. […] UH Seidman Cancer Center physicians encourage patients to walk following surgery because it can be extremely beneficial to the healing process.

• #19 Post Adrenal Cancer Surgery Care | Life After Adrenal Cancer Surgery | University Hospitals

  https://www.uhhospitals.org/services/cancer-services/genitourinary-cancer/adrenal-cancer/what-to-expect-after-having-surgery

  Patients may have port sites, or small incisions where the surgery was performed, that are covered by Steri-Strips or a larger incision with staples that will be removed at the postoperative visit. […] Patients may experience swelling around the incision and a feeling of firmness under the skin where the incision was made. […] Patients will have scarring that typically grows more noticeable in the one to two months following surgery. […] Depending on the method of the patient’s adrenalectomy (surgical or minimally invasive), the incision will also involve a variable amount of muscle. […] Symptom that require immediate attention by the Urologic Oncology Center include: Fever (body temperature over 102 F), Chills, Nausea or vomiting, Bleeding, Pain so excruciating that medication is not relieving it. […] Patients should schedule their follow-up appointment at UH Seidman Cancer Center for seven to 10 days following discharge.

• #20 Adrenal Cancer Support | Baptist Health Miami Cancer Institute

  https://baptisthealth.net/services/cancer-care/miami-cancer-institute/our-approach/adult-cancers/endocrine-tumors/adrenal-tumors/living-beyond-adrenal-tumors

  After treatment you will need to come back for follow-up care to make sure you are healing well and the treatment was successful. […] Our survivorship program provides education and support about what to expect and how to take care of yourself after adrenal tumor treatment. […] Cancerous or noncancerous adrenal tumors can affect your life and health in many ways. Our psychiatrists, psychologists, licensed clinical social workers and chaplains can help you find healthy ways to cope. […] With an emphasis on healing, recovery, wellness and disease prevention, Miami Cancer Institutes Survivorship Program team is right there with you as you move into the next phase of your life.

• #21 Support for Adrenal Tumors | NYU Langone Health

  https://nyulangone.org/conditions/adrenal-tumors/support

  NYU Langone doctors are closely involved in the follow-up care for people with adrenal tumors. Our endocrinologists help ensure that your hormone levels are stable after treatment by monitoring you with blood and urine tests and imaging scans. […] Our doctors provide regular follow-up care after treatment for adrenal tumors to monitor hormone levels and other symptoms. […] NYU Langone offers a variety of support services to help you manage adrenal tumors during and after treatment. […] Our doctors encourage good nutrition for your overall health as a part follow-up care for an adrenal tumor. Registered oncology dietitians at NYU Langones Perlmutter Cancer Center provide nutrition education and counseling. […] Support groups and one-on-one counseling sessions with a psycho-oncologist, a healthcare provider who is trained to address the psychological needs of people with cancer, are available at the Perlmutter Cancer Center.

• #22 Adrenal Cancer Symptoms, Diagnosis, and Treatment | Saint John’s Cancer Institute – Santa Monica, CA

  https://www.saintjohnscancer.org/endocrine/conditions/adrenal-cancer/

  Definitive diagnosis is only made on final pathology. […] If surgically resectable: open adrenalectomy and en-bloc removal of the tumor, the surrounding tissues, any invading structures and the regional lymph nodes. […] Adjuvant therapy with mitotane and possibly chemotherapy is usually recommended. […] Adult adrenal cortical cancer is an aggressive tumor that is not usually found until it has advanced to a later stage and therefore has a poor prognosis. […] Prognosis for smaller tumors that are confined to the adrenal gland and removed early can have a five year survival of up to 65%. […] Since ACC is an aggressive tumor, it can definitely come back either locally (in the same location) or in a distant location as metastatic disease. […] You will have lifelong follow-up with an oncologist, surgeon, and endocrinologist. […] Monitoring will consist of periodic imaging and blood tests to monitor for recurrence and/or disease progression.

• #23 Treatment for Adrenal Tumors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/types/adrenal-tumors/treatment

  Our doctors also treat bilateral adrenal hyperplasia (BAH), a condition that produces symptoms similar to those of aldosteronoma. […] The first treatment for pheochromocytomas is surgery. […] With benign, or noncancerous, paragangliomas, well likely recommend surgery as well as medicines and other therapies. […] The first treatment for adrenal cortex tumors is surgery. […] For a while after the operation, you may need to take cortisol-replacement medication, such as hydrocortisone or prednisone, while we wait for your adrenal gland to begin producing normal levels of the hormone again. […] There are many treatment options for adrenal cortical carcinomas, including medications, radiation therapy, surgery, and chemotherapy. […] If you have a tumor that has spread or come after being first treated, or if youre too sick to undergo surgery, we may recommend a procedure called tumor ablation.

• #24 Adrenal Cancer: Causes, Symptoms & Treatments

  https://www.cancercenter.com/cancer-types/adrenal-cancer

  At City of Hope, we understand that managing the side effects of cancer and its treatment is often just as critical as treating the disease. Common side effects of adrenal cancer treatment include nausea and vomiting, diarrhea, fatigue, hair loss, pain and a decreased appetite. […] Our supportive approach to cancer care means we treat the disease with conventional tools while also supporting patients with evidence-informed therapiesall under one roof. […] Supportive care therapies that may be recommended to help adrenal cancer patients stay strong and maintain their quality of life include: Nutritional support, Pain management, Behavioral health.

• #25 Advanced Adrenocortical Carcinoma: From Symptoms Control to Palliative Care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9739560/

  Supportive and simultaneous approaches involve the prevention and management of the adverse events/effects of cancer and cancer-related treatment in patients with good survival prognoses in short- to mid-term time periods. Palliative care is the sum of interventions intended to provide relief from cancer-related symptoms and stress in order to improve QoL (for patients with worsening clinical condition) and relieve cancer patients burden. […] European ESE/ENSAT and American Association of Clinical Endocrinology guidelines recommend the early integration of palliative/simultaneous care in the multidisciplinary evaluation of ACC patients. […] Palliative care treats patients as whole biopsychosocial unities, and its integration into the ACC multidisciplinary plan can complete the care pathway both during the antineoplastic treatment period (simultaneous care) and when oncological therapies are no longer effective, associated with unbearable side effects or refused by the patients.

• #26 Advanced Adrenocortical Carcinoma: From Symptoms Control to Palliative Care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9739560/

  There is much evidence in the literature in favor of the rapid integration of palliative care into the therapeutic path of patients with advanced cancer early on in active oncological treatments. […] This approach, which involves the multidisciplinary collaboration of several specialists in the treatment of this category of patients (oncologist, palliative care specialist, endocrinologist, nutritionist, nurses, psychologist), is known as simultaneous care. […] The Italian Association of Medical Oncology, in accordance with the European Society of Medical Oncology and the American Society of Clinical Oncology, recommends early integration of palliative care in cancer treatments. […] Parallel treatment of both cancer and the patient is the cornerstone of simultaneous care: the secondary palliative care team should be integrated in the multidisciplinary evaluation of patients with ACC, and the other physicians should have training in primary palliative care.

• #27 Adrenal Cancer Care at City of Hope

  https://www.cancercenter.com/cancer-types/adrenal-cancer/care-at-city-of-hope

  At City of Hope, we know that adrenal cancer is a complex disease that requires a multi-faceted approach. […] Our cancer experts are trained and experienced in all stages of adrenal cancer, from diagnosing the disease, to treating it and managing its side effects, to survivorship. […] Your multidisciplinary team of oncologists and supportive care clinicians work with you to develop a treatment plan tailored to your diagnosis and needs. […] Your adrenal cancer care team works all under one roof. […] Our doctors work with supportive care providers to deliver evidence-informed approaches designed to address the symptoms of your disease and the side effects of treatment. […] Our supportive care services include nutritional support to help develop a diet plan to help you stay nourished, while pain management physicians offer medication and non-narcotic approaches to help you keep your pain in check. […] And our spiritual support and behavioral health providers help support your mental and emotional health before, during and after your treatment.

• #28 Support for Adrenal Tumors | NYU Langone Health

  https://nyulangone.org/conditions/adrenal-tumors/support

  Our supportive care team provides ongoing treatment for any discomfort you may experience during or after treatment for an adrenal tumor. Pain management can include integrative therapies, which are available at the Perlmutter Cancer Center. These include massage therapy, which can help reduce stress, and acupuncture, which may relieve tumor-related pain and the fatigue associated with chemotherapy or hormonal changes.

• #29 Adrenal Cancer Treatment – San Diego – Scripps Health

  https://www.scripps.org/services/cancer-care/adrenal-cancer-treatment

  We are here for you not only as your oncologists, but as a robust multidisciplinary team of experts who understands that your cancer journey is about much more than your medical treatment. Specifically, Scripps Cancer Center offers a variety of patient support services to ensure your physical, psychological and emotional well-being as well as resources for dealing with the logistical and financial aspects of cancer care. Our services and resources include: […] Oncology nurses and nurse navigators with extensive clinical expertise in cancer care to help guide you and your caregivers to make informed decisions and ensure your optimal care. […] Palliative care to provide an extra layer of supportive care to manage pain and relieve symptoms, offer emotional and spiritual support, and improve your quality of life.

• #30 Adrenal Cancer Treatment – San Diego – Scripps Health

  https://www.scripps.org/services/cancer-care/adrenal-cancer-treatment

  Oncology social workers specially trained to provide counseling, connect you with community and medical resources, assist with transportation and housing and coordinate care after discharge. […] Our registered dietitian nutritionists offer individualized nutrition support for patients whose efforts to optimize their nutrition may be affected by cancer symptoms or treatment side effects. […] Referrals and professional care from experts in psychology, psychiatry and emotional health, including individual and family counseling to help with the emotional challenges of cancer. […] Physical rehabilitation and occupational therapy services, including wound care, voice therapy and swallowing therapy, lymphedema therapy, balance and vestibular rehabilitation, yoga and more. […] Scripps Center for Integrative Medicine for patients interested in mind-body healing through acupuncture, biofeedback, herbal nutrition, massage therapy, integrative cancer care and more. […] Nondenominational spiritual care offered by our chaplains to help coordinate spiritual care with your own clergy, rabbi or spiritual advisor. […] Visiting patient services if you reside beyond San Diego and want help arranging appointments or learning more about short-term lodging.

• #31 Treating Adrenal Cancer | Adrenal Cancer Treatment | American Cancer Society

  https://www.cancer.org/cancer/types/adrenal-cancer/treating.html

  People with cancer need support and information, no matter what stage of illness they may be in. […] Different types of programs and support services may be helpful, and they can be an important part of your care. […] Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life. […] Remember that even if you choose not to treat the cancer, you can still get supportive care to help with pain or other symptoms. […] You and your family are encouraged to talk with your doctor or a member of your supportive care team about hospice care options, which include hospice care at home, a special hospice center, or other health care locations.

• #32 Adrenal cancer – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/adrenal-cancer/diagnosis-treatment/drc-20446405

  For adrenal cancer, immunotherapy may be used when the cancer has spread to other parts of the body or in situations where surgery isn’t possible. […] Ask a member of your healthcare team about support groups and other resources in your area. You also can learn more from organizations that offer support for people with cancer. In the United States, examples include the National Cancer Institute and the American Cancer Society.

• #33 Adrenal Cancer: Causes, Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/cancer/adrenal-cancer

  Whatever treatment you choose, make sure you tend to your emotions as well as your body. Your doctor may be able to suggest support groups that can give you a chance to talk with others who are going through the same things. They can give you tips and advice on how to keep positive while you get the care you need.

• #34 Adrenal Cancer: Newly Diagnosed

  https://healthlibrary.vidanthealth.com/Library/DiseasesConditions/Adult/Gynecological/34,19184-1

  Coping with cancer can be very stressful. Talk with your healthcare team about seeing a counselor or therapist. They can refer you to someone who can help. You might also want to visit a support group to talk with other people coping with cancer. Ask your healthcare team about local or online support groups.

• #35 Adrenal Cancer: Newly Diagnosed | UMass Memorial Health

  https://www.ummhealth.org/health-library/adrenal-cancer-newly-diagnosed

  Being told you have adrenal cancer can be scary, and you may have many questions. But you have people on your healthcare team to help. […] Your healthcare team will likely include: […] These providers will answer any questions you may have. Theyll help you through each of the steps youll take before, during, and after treatment. […] To decide the best course of treatment for you, your healthcare team needs to know as much as they can about your cancer. […] Treatment often starts a few weeks to months after diagnosis. […] Coping with cancer can be very stressful. Talk with your healthcare team about seeing a counselor or therapist.

• #36 Adrenocortical Carcinoma: Erin’s Story | Massachusetts General Hospital

  https://www.massgeneral.org/cancer-center/news/adrenocortical-carcinoma-patient-story

  Listen to your gut and your instincts and seek advocacy assistance. There are so many resources through this hospital, social workers, therapists, that act as great intermediaries between yourself and your experiences with your providers. Utilize any kind of resource you can. […] Together, Erin and her care team worked to find a diagnosis. […] Erin was an active, informed participant in her care plan. […] Maintaining a sense of normalcy at work was important to Erin. […] Her coworkers were supportive of her cancer diagnosis and navigating being an employee and patient at the same time. […] As far as advice for others who are going through a similar experience, Erin wants to advocate for listening to your body, and seeking support when you need it.

• #37 Tarzana Urologist and Adrenal Cancer Care

  https://allseniors.org/city-services/urologist-and-adrenal-cancer-care-in-tarzana/

  This synergy spares seniors from repeated medical turbulence, smoothing out an otherwise choppy treatment journey. […] By welding specialized urological support to these supportive resources, seniors remain connected to Tarzana’s quiet charm rather than feeling separated by complex therapy obligations. […] Elevated hormones spark anxiety; brief social calls or a soothing hobby help maintain equilibrium. […] This integrated approach keeps contradictory instructions at bay, protecting older adults from under- or over-medication that can wreak havoc on heart or kidney function. […] Urologists controlling tumor growth and hormone surges reduce potential emergencies, preserving seniors’ involvement in minor errands, low-key gatherings, or quiet family moments. […] By uniting specialized oncology, local kindness, and a personal resolve to persevere, Tarzana seniors can tackle adrenal cancer while still relishing the sheltered comforts of home and community.

• #38 Adrenocortical Tumor Treatment | St. Jude Care & Treatment

  https://www.stjude.org/care-treatment/treatment/childhood-cancer/solid-tumors/adrenocortical-tumor.html

  St. Jude provides the highest quality of care for patients with ACT: […] Complete, quality surgery is an important part of successful ACT treatment. Surgery in children can be hard. Adrenal glands can be fragile, and tumors may have clots in the large veins. The expert skills and experience of St. Jude surgeons can help improve patient outcomes. […] Jude offers a dedicated team of specialists to meet the needs of children with cancer, including: Surgeons, doctors, and nurses who treat this cancer […] The nurse-to-patient ratio at St. Jude is about 1:3 in hematology and oncology and 1:1 in the Intensive Care Unit.

• #39 Treatment for Adrenal Cancer | Fred Hutchinson Cancer Center

  https://www.fredhutch.org/en/diseases/adrenal-cancer/treatment.html

  During and after treatment, your team continues to provide follow-up care on a schedule tailored to you. The Fred Hutch Survivorship Clinic is also here to help you live your healthiest life as an adrenal cancer survivor. […] For most people, the main treatment for adrenal cancer is surgery to remove all of the cancer, if possible. Typically, this means trying to remove the adrenal gland (adrenalectomy) with the tumor and any other areas of cancer. […] Your Fred Hutch care team will talk with you in detail about the surgery they recommend for you, why and what to expect. Were here to help you through the entire process before, during and after your surgery including preventing and dealing with any possible side effects. […] Your doctors may recommend chemotherapy too, to help control cancer that might spread or has already spread to other parts of your body or to relieve symptoms caused by excess hormones.

• #40 Adrenal Tumors | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/adrenal-tumors

  Children who have been treated for adrenal tumors should visit a survivorship clinic yearly. Through the David B. Perini Jr. Quality of Life Clinic our cancer survivorship clinic childhood cancer survivors receive a comprehensive follow-up evaluation from their cancer care team. In addition to meeting with your pediatric oncologists, your child may see one of our endocrinologists, cardiologists, neurologists, neuro-psychologists, or alternative/complementary therapy specialists. We also offer patient and family education, psychosocial assessment, genetic counseling, reproductive counseling, and opportunities to speak with other childhood cancer survivors.

• #41 A review of our work in adrenal disease for endocrinology providers | University of Michigan Health

  https://www.uofmhealth.org/endocrinologydiabetes-entire-brief-devoted-adrenal-diseases

  Clinical and translational research at U-M focuses on international and industry partnerships to develop and test therapeutic agents, and on efforts to leverage serum steroid biomarkers to improve detection and evaluate treatment response. […] The U-M Adrenal Cancer Program was instrumental in conducting the first industry-sponsored international randomized phase 3 clinical trial of an investigational drug in ACC. […] The targeted therapeutic ATR-101, developed at U-M, selectively kills adrenal cancer cells through a novel cholesterol-dependent mechanism that has little impact on other cells in the body. […] Using mass spectrometry, U-M researchers are characterizing and measuring a number of serum steroid biomarkers to diagnose and monitor treatment of adrenal diseases including ACC, Conn syndrome, congenital adrenal hyperplasia and Cushing syndrome.

• #42 A review of our work in adrenal disease for endocrinology providers | University of Michigan Health

  https://www.uofmhealth.org/endocrinologydiabetes-entire-brief-devoted-adrenal-diseases

  The U-M Adrenal Cancer Program plays a pivotal role in two international consortia of researchers and clinicians: the European Network for the Study of Adrenal Tumors (ENSAT) and the American Australian Asian Adrenal Alliance (A5). […] U-M has hosted and/or chaired each symposium held since then. […] Led by Dr. Hammer, the U-M team has established itself as a driving force in policy initiatives to increase research funding for rare diseases in general and adrenal cancer specifically.

• #43 How We Treat Adrenocortical Carcinoma | Dana-Farber Cancer Institute

  https://www.dana-farber.org/cancer-care/types/adrenocortical-carcinoma/treatment

  At Dana-Farber Brigham Cancer Center, our Genitourinary Cancer Treatment Center focuses on treatment of, and research on, common and rare cancers, including adrenocortical carcinoma. […] Our team of expert surgical, medical, and radiation oncologists, radiologists, pathologists, researchers, nurses, nutritionists, and social workers cares for each patient with dedication and compassion. […] We create a unique, personalized plan for every patient and consider all aspects of your health when making our recommendations. […] The treatment approach may vary based on the stage of adrenocortical carcinoma. […] Treatment of recurrent adrenocortical carcinoma may include the following as therapy to relieve symptoms and maintain the quality of life: Surgery, Radiation therapy, A clinical trial of chemotherapy or biologic therapy, Interventional radiology. […] Clinical trials are an important part of the cancer research process. […] Our diagnostic team provides second opinions, including for challenging or difficult cases.

• #44 Adrenal Tumors | VCU Massey Comprehensive Cancer Centerf_logo_RGB-Blue_1024Twitter_Social_Icon_Circle_ColorGroup 7Group 8LinkedIn IconMask

  https://www.masseycancercenter.org/cancer-types-and-treatments/cancer-types/adrenal-tumors/

  By working together and pooling their expertise, endocrine tumors doctors can make the best decisions and give you the most comprehensive advice and information. […] Massey offers a full range of treatment options and scope of care, from prevention and diagnosis to treatment, recovery and long-term survivorship. […] We also offer comprehensive support services that range from helping minimize symptoms and side effects to helping evaluate and cope with the cognitive, emotional and psychological effects of cancer. […] Through respectful, attentive and compassionate care, Massey’s cancer care team builds healing relationships with you that help reduce suffering and death from cancer. […] Recognizing that each patient is unique and each type of cancer is different, Massey provides treatment strategies and care plans tailored and individualized to you.

• #45 Adrenal Cancer | KY, IN & OH | St. Elizabeth Healthcare

  https://www.stelizabeth.com/care/medical-services-2/cancer/genitourinary-cancer/adrenal-cancer/

  Treatment may include: Chemotherapy, Medication, Radiation therapy. […] The team includes medical oncologists specializing in immunotherapy and precision medicine, surgical oncologists, radiation oncologists, interventional radiologists, thoracic surgeons, pain management specialists, genetic counselors, pathologists, nutritionists, pharmacists, nurses and support staff. They work together to create a treatment plan that’s just right for you.

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