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Understanding Adrenal Tumor

Adrenal tumors in children are rare growths that form on the adrenal glands, which sit on top of the kidneys. The most common type is neuroblastoma (arising from the adrenal medulla), followed by rarer adrenocortical tumors (adenomas or carcinomas) and pheochromocytomas. These tumors can affect hormone production and require specialized multi-disciplinary care.

Causes of Adrenal Tumor

Most pediatric adrenal tumors occur due to genetic predisposition, inherited syndromes, or spontaneous gene mutations during development. Key contributing factors include:

  • Genetic Syndromes: Conditions like Beckwith-Wiedemann syndrome, Li-Fraumeni syndrome, or Carney complex are strongly linked to adrenal growths.
  • Spontaneous Mutations: Cellular errors during rapid embryonic development of the adrenal gland.
  • Endocrine Imbalances: Abnormal signals causing localized cell hyperplasia.

Signs of Adrenal Tumor

Signs vary depending on the tumor type and whether it secretes excess hormones:

  • Abdominal Swelling: A firm, palpable mass in the abdomen or upper side.
  • Hormonal Symptoms: Early signs of puberty (virilization), rapid hair growth, acne, or rapid weight gain.
  • Hypertension: High blood pressure, sweating, and heart palpitations (typical of pheochromocytoma).

Advanced Care

Treatment Options

Robotic Adrenalectomy

Minimally invasive removal of the adrenal gland using robotic arms for precise dissection near the vena cava.

Endocrine Management

Pre-operative medication controls hormone levels to ensure safety during anesthesia.

Nephron-Preserving Resection

Carefully separating the adrenal tumor from the underlying kidney, avoiding the need to remove the kidney.

Clinical Path

The Surgical Process

01

Endocrine Workup

Blood and urine tests measure catecholamines and hormone levels. CT/MRI scans locate the tumor's vessel boundaries.

02

Robotic Dissection

The adrenal gland is carefully isolated from the kidney and major vessels. The tumor blood supply is clipped first.

03

ICU Monitoring

Close post-operative monitoring in the PICU to manage blood pressure stabilization and hormone baseline recovery.

Success Stories

Hear From The Parents

"We were devastated when our daughter was diagnosed with a neuroblastoma. Dr. Sujit Chowdhary coordinated her surgery perfectly. Today she is cancer-free."

Amit S.
Father of 2yo patient

"Our son's pheochromocytoma was causing severe hypertension. Dr. Sujit stabilized him and did a laparoscopic adrenalectomy. Outstanding results."

Vikas R.
Father

"Dr. Chowdhary's expertise in robotic adrenalectomy is outstanding. The keyhole incisions healed beautifully, and recovery was incredibly fast."

Preeti M.
Mother

"The precision in Dr. Chowdhary's surgery is incredible. His confidence gave us immense peace of mind during a very stressful time."

Anita Sharma
Mother

"We traveled from another city just for Dr. Chowdhary. His approach is very scientific and methodical yet very caring."

Karan Singh
Parent
Dr. Sujit Chowdhary

Urological Specialist

Why Choose Dr. Sujit Chowdhary?

Adrenal masses require specialized excision and hormone monitoring. Minimally invasive adrenalectomy speeds up child recovery.

  • Specialist in laparoscopic and robotic adrenalectomy in children.
  • Expertise in managing pheochromocytoma and neuroblastoma.
  • Coordinated care with pediatric endocrinologists.
  • Focus on safe resection, hormone balance, and minimal pain.
  • Compassionate and focused support for your child's recovery.
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Common Queries

Frequently Asked Questions

Are adrenal tumors in children always cancerous?

Not always. While neuroblastomas are malignant, many adrenocortical tumors or pheochromocytomas can be benign, though they still require removal.

Can the kidney be saved during adrenal surgery?

Yes, since the adrenal gland sits adjacent to the kidney but has its own separate capsule, the kidney is successfully preserved in almost all cases.

What is the role of laparoscopic surgery in adrenal tumors?

For smaller, well-localized adrenal tumors, minimally invasive laparoscopic or robotic-assisted surgery is highly effective, leading to faster recovery.

What is a pheochromocytoma?

It is a rare adrenal tumor that secretes hormones (adrenaline), causing symptoms like severe high blood pressure and rapid heart rate.

What preparation is needed before adrenal tumor surgery?

Certain tumors (like pheochromocytomas) require pre-operative medication to stabilize blood pressure before surgical removal.

How long is the hospital stay after adrenalectomy?

Typically, children stay in the hospital for 3 to 5 days, depending on whether the surgery was laparoscopic or open.

Will my child need hormone replacements after surgery?

If only one adrenal gland is removed, the remaining healthy gland takes over, and hormone replacement is generally not required.

Get in Touch

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Surgical removal of adrenal tumors is key to protecting your child's health. Schedule a consultation today.

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D6, Club, 2, opposite Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057

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+91 98732 06761

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