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Prognostic factors in stage III-IV adrenocortical carcinomas (ACC): an European Network for the Study of Adrenal Tumor (ENSAT) study.

Identifieur interne : 002769 ( PubMed/Curation ); précédent : 002768; suivant : 002770

Prognostic factors in stage III-IV adrenocortical carcinomas (ACC): an European Network for the Study of Adrenal Tumor (ENSAT) study.

Auteurs : R. Libé [France] ; I. Borget [France] ; C L Ronchi [Allemagne] ; B. Zaggia [Italie] ; M. Kroiss [Allemagne] ; T. Kerkhofs [Pays-Bas] ; J. Bertherat [France] ; M. Volante [Italie] ; M. Quinkler [Allemagne] ; O. Chabre [France] ; M. Bala [Allemagne] ; A. Tabarin [France] ; F. Beuschlein [Allemagne] ; D. Vezzosi [France] ; T. Deutschbein [Allemagne] ; F. Borson-Chazot [France] ; I. Hermsen [Pays-Bas] ; A. Stell [Australie] ; C. Fottner [Allemagne] ; S. Leboulleux [France] ; S. Hahner [Allemagne] ; M. Mannelli ; A. Berruti [Italie] ; H. Haak [Pays-Bas] ; M. Terzolo [Italie] ; M. Fassnacht [Allemagne] ; E. Baudin [France]

Source :

RBID : pubmed:26392430

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English descriptors

Abstract

The clinical course of advanced adrenocortical carcinoma (ACC) is heterogeneous. Our study aimed primarily to refine and make headway in the prognostic stratification of advanced ACC.

DOI: 10.1093/annonc/mdv329
PubMed: 26392430

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M. Mannelli
<affiliation>
<nlm:affiliation>Department of Experimental and Clinical Biomedical Sciences 'Mario Serio', Florence.</nlm:affiliation>
<wicri:noCountry code="subField">Florence</wicri:noCountry>
</affiliation>

Le document en format XML

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<nlm:affiliation>French Adrenal Cancer Network, Institut National du Cancer, Paris.</nlm:affiliation>
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<name sortKey="Quinkler, M" sort="Quinkler, M" uniqKey="Quinkler M" first="M" last="Quinkler">M. Quinkler</name>
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<nlm:affiliation>Clinical Endocrinology, Charit Campus Mitte, Charitί University Medicine Berlin, Germany.</nlm:affiliation>
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<name sortKey="Chabre, O" sort="Chabre, O" uniqKey="Chabre O" first="O" last="Chabre">O. Chabre</name>
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<name sortKey="Bala, M" sort="Bala, M" uniqKey="Bala M" first="M" last="Bala">M. Bala</name>
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<name sortKey="Tabarin, A" sort="Tabarin, A" uniqKey="Tabarin A" first="A" last="Tabarin">A. Tabarin</name>
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<nlm:affiliation>Department of Endocrinology, CHU Bordeaux, University of Bordeaux, Bordeaux, France.</nlm:affiliation>
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<name sortKey="Beuschlein, F" sort="Beuschlein, F" uniqKey="Beuschlein F" first="F" last="Beuschlein">F. Beuschlein</name>
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<wicri:orgArea>Department of Endocrinology and Metabolic Diseases, CHU Larrey</wicri:orgArea>
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<name sortKey="Deutschbein, T" sort="Deutschbein, T" uniqKey="Deutschbein T" first="T" last="Deutschbein">T. Deutschbein</name>
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<name sortKey="Borson Chazot, F" sort="Borson Chazot, F" uniqKey="Borson Chazot F" first="F" last="Borson-Chazot">F. Borson-Chazot</name>
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<nlm:affiliation>Nuclear Medicine Unit, University of Lyon 1, Hospices Civils de Lyon Bron, France.</nlm:affiliation>
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<name sortKey="Hermsen, I" sort="Hermsen, I" uniqKey="Hermsen I" first="I" last="Hermsen">I. Hermsen</name>
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<name sortKey="Stell, A" sort="Stell, A" uniqKey="Stell A" first="A" last="Stell">A. Stell</name>
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<nlm:affiliation>Melbourne eResearch Group Level 3, Doug McDonell Building, University of Melbourne, Melbourne, Australia.</nlm:affiliation>
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<name sortKey="Fottner, C" sort="Fottner, C" uniqKey="Fottner C" first="C" last="Fottner">C. Fottner</name>
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<nlm:affiliation>Department of Medicine 1, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.</nlm:affiliation>
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<wicri:regionArea>Department of Medicine 1, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Leboulleux, S" sort="Leboulleux, S" uniqKey="Leboulleux S" first="S" last="Leboulleux">S. Leboulleux</name>
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<nlm:affiliation>Department of Nuclear Medicine and Endocrine Tumors, Institut Gustave Roussy, Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Nuclear Medicine and Endocrine Tumors, Institut Gustave Roussy, Villejuif</wicri:regionArea>
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<name sortKey="Hahner, S" sort="Hahner, S" uniqKey="Hahner S" first="S" last="Hahner">S. Hahner</name>
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<nlm:affiliation>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg, Germany.</nlm:affiliation>
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<name sortKey="Mannelli, M" sort="Mannelli, M" uniqKey="Mannelli M" first="M" last="Mannelli">M. Mannelli</name>
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<name sortKey="Berruti, A" sort="Berruti, A" uniqKey="Berruti A" first="A" last="Berruti">A. Berruti</name>
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<nlm:affiliation>Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Spedali Civili Hospital, Brescia, Italy.</nlm:affiliation>
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<name sortKey="Haak, H" sort="Haak, H" uniqKey="Haak H" first="H" last="Haak">H. Haak</name>
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<name sortKey="Terzolo, M" sort="Terzolo, M" uniqKey="Terzolo M" first="M" last="Terzolo">M. Terzolo</name>
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<name sortKey="Fassnacht, M" sort="Fassnacht, M" uniqKey="Fassnacht M" first="M" last="Fassnacht">M. Fassnacht</name>
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<nlm:affiliation>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg, Germany.</nlm:affiliation>
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<name sortKey="Baudin, E" sort="Baudin, E" uniqKey="Baudin E" first="E" last="Baudin">E. Baudin</name>
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<nlm:affiliation>Department of Nuclear Medicine and Endocrine Tumors, Institut Gustave Roussy, Villejuif, France eric.baudin@gustaveroussy.fr.</nlm:affiliation>
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<wicri:regionArea>Department of Nuclear Medicine and Endocrine Tumors, Institut Gustave Roussy, Villejuif</wicri:regionArea>
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<title xml:lang="en">Prognostic factors in stage III-IV adrenocortical carcinomas (ACC): an European Network for the Study of Adrenal Tumor (ENSAT) study.</title>
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<name sortKey="Libe, R" sort="Libe, R" uniqKey="Libe R" first="R" last="Libé">R. Libé</name>
<affiliation wicri:level="3">
<nlm:affiliation>French Adrenal Cancer Network, Institut National du Cancer, Paris.</nlm:affiliation>
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<placeName>
<settlement type="city">Paris</settlement>
<region type="région" nuts="2">Île-de-France</region>
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<name sortKey="Borget, I" sort="Borget, I" uniqKey="Borget I" first="I" last="Borget">I. Borget</name>
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<nlm:affiliation>Department of Biostatistics and Epidemiology, Gustave Roussy and University Paris-Sud, Villejuif, France.</nlm:affiliation>
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<name sortKey="Ronchi, C L" sort="Ronchi, C L" uniqKey="Ronchi C" first="C L" last="Ronchi">C L Ronchi</name>
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<nlm:affiliation>Central Laboratory, Research Unit, University Hospital Wurzburg, Wurzburg, Germany.</nlm:affiliation>
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<name sortKey="Zaggia, B" sort="Zaggia, B" uniqKey="Zaggia B" first="B" last="Zaggia">B. Zaggia</name>
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<name sortKey="Kroiss, M" sort="Kroiss, M" uniqKey="Kroiss M" first="M" last="Kroiss">M. Kroiss</name>
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<nlm:affiliation>Comprehensive Cancer Center Mainfranken, University of Würzburg, Würzburg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<name sortKey="Kerkhofs, T" sort="Kerkhofs, T" uniqKey="Kerkhofs T" first="T" last="Kerkhofs">T. Kerkhofs</name>
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<nlm:affiliation>Internal Medicine, Maxima Medisch Centrum, Eindhoven, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
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<name sortKey="Bertherat, J" sort="Bertherat, J" uniqKey="Bertherat J" first="J" last="Bertherat">J. Bertherat</name>
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<nlm:affiliation>Endocrinology Unit, Cochin Hospital, Paris, France.</nlm:affiliation>
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<name sortKey="Volante, M" sort="Volante, M" uniqKey="Volante M" first="M" last="Volante">M. Volante</name>
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<nlm:affiliation>Department of Oncology, University of Turin, San Luigi Hospital, Turin, Italy.</nlm:affiliation>
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<wicri:regionArea>Department of Oncology, University of Turin, San Luigi Hospital, Turin</wicri:regionArea>
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<name sortKey="Quinkler, M" sort="Quinkler, M" uniqKey="Quinkler M" first="M" last="Quinkler">M. Quinkler</name>
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<nlm:affiliation>Clinical Endocrinology, Charit Campus Mitte, Charitί University Medicine Berlin, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Clinical Endocrinology, Charit Campus Mitte, Charitί University Medicine Berlin</wicri:regionArea>
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<name sortKey="Chabre, O" sort="Chabre, O" uniqKey="Chabre O" first="O" last="Chabre">O. Chabre</name>
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<nlm:affiliation>Endocrinology Unit, University Hospital of Grenoble, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<name sortKey="Bala, M" sort="Bala, M" uniqKey="Bala M" first="M" last="Bala">M. Bala</name>
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<nlm:affiliation>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg</wicri:regionArea>
</affiliation>
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<name sortKey="Tabarin, A" sort="Tabarin, A" uniqKey="Tabarin A" first="A" last="Tabarin">A. Tabarin</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Endocrinology, CHU Bordeaux, University of Bordeaux, Bordeaux, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Endocrinology, CHU Bordeaux, University of Bordeaux, Bordeaux</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Beuschlein, F" sort="Beuschlein, F" uniqKey="Beuschlein F" first="F" last="Beuschlein">F. Beuschlein</name>
<affiliation wicri:level="1">
<nlm:affiliation>Medizinische Klinik und Poliklinik IV, Klinikum der Ludwig-Maximilians-Universität München, Munich, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Medizinische Klinik und Poliklinik IV, Klinikum der Ludwig-Maximilians-Universität München, Munich</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Vezzosi, D" sort="Vezzosi, D" uniqKey="Vezzosi D" first="D" last="Vezzosi">D. Vezzosi</name>
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<nlm:affiliation>Department of Endocrinology and Metabolic Diseases, CHU Larrey, Toulouse.</nlm:affiliation>
<country>France</country>
<placeName>
<settlement type="city">Toulouse</settlement>
<region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Midi-Pyrénées</region>
</placeName>
<wicri:orgArea>Department of Endocrinology and Metabolic Diseases, CHU Larrey</wicri:orgArea>
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<name sortKey="Deutschbein, T" sort="Deutschbein, T" uniqKey="Deutschbein T" first="T" last="Deutschbein">T. Deutschbein</name>
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<nlm:affiliation>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg</wicri:regionArea>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Medicine 1, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz</wicri:regionArea>
</affiliation>
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<name sortKey="Leboulleux, S" sort="Leboulleux, S" uniqKey="Leboulleux S" first="S" last="Leboulleux">S. Leboulleux</name>
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<country xml:lang="fr">France</country>
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<name sortKey="Hahner, S" sort="Hahner, S" uniqKey="Hahner S" first="S" last="Hahner">S. Hahner</name>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg</wicri:regionArea>
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<name sortKey="Mannelli, M" sort="Mannelli, M" uniqKey="Mannelli M" first="M" last="Mannelli">M. Mannelli</name>
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<name sortKey="Berruti, A" sort="Berruti, A" uniqKey="Berruti A" first="A" last="Berruti">A. Berruti</name>
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<name sortKey="Haak, H" sort="Haak, H" uniqKey="Haak H" first="H" last="Haak">H. Haak</name>
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<name sortKey="Terzolo, M" sort="Terzolo, M" uniqKey="Terzolo M" first="M" last="Terzolo">M. Terzolo</name>
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<country xml:lang="fr">Allemagne</country>
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<country wicri:rule="url">France</country>
<wicri:regionArea>Department of Nuclear Medicine and Endocrine Tumors, Institut Gustave Roussy, Villejuif</wicri:regionArea>
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<title level="j">Annals of oncology : official journal of the European Society for Medical Oncology</title>
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<term>Adrenocortical Carcinoma (mortality)</term>
<term>Adrenocortical Carcinoma (pathology)</term>
<term>Bone Neoplasms (mortality)</term>
<term>Bone Neoplasms (secondary)</term>
<term>Europe</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Liver Neoplasms (mortality)</term>
<term>Liver Neoplasms (secondary)</term>
<term>Lung Neoplasms (mortality)</term>
<term>Lung Neoplasms (secondary)</term>
<term>Lymphatic Metastasis</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Invasiveness</term>
<term>Neoplasm Recurrence, Local (mortality)</term>
<term>Neoplasm Recurrence, Local (pathology)</term>
<term>Neoplasm Staging</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Survival Rate</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Carcinome corticosurrénalien (anatomopathologie)</term>
<term>Carcinome corticosurrénalien (mortalité)</term>
<term>Europe</term>
<term>Femelle</term>
<term>Grading des tumeurs</term>
<term>Humains</term>
<term>Invasion tumorale</term>
<term>Mâle</term>
<term>Métastase lymphatique</term>
<term>Pronostic</term>
<term>Récidive tumorale locale (anatomopathologie)</term>
<term>Récidive tumorale locale (mortalité)</term>
<term>Stade de la tumeur</term>
<term>Taux de survie</term>
<term>Tumeurs corticosurrénaliennes (anatomopathologie)</term>
<term>Tumeurs corticosurrénaliennes (mortalité)</term>
<term>Tumeurs du foie (mortalité)</term>
<term>Tumeurs du foie (secondaire)</term>
<term>Tumeurs du poumon (mortalité)</term>
<term>Tumeurs du poumon (secondaire)</term>
<term>Tumeurs osseuses (mortalité)</term>
<term>Tumeurs osseuses (secondaire)</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Récidive tumorale locale</term>
<term>Tumeurs corticosurrénaliennes</term>
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<term>Adrenal Cortex Neoplasms</term>
<term>Adrenocortical Carcinoma</term>
<term>Bone Neoplasms</term>
<term>Liver Neoplasms</term>
<term>Lung Neoplasms</term>
<term>Neoplasm Recurrence, Local</term>
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<term>Carcinome corticosurrénalien</term>
<term>Récidive tumorale locale</term>
<term>Tumeurs corticosurrénaliennes</term>
<term>Tumeurs du foie</term>
<term>Tumeurs du poumon</term>
<term>Tumeurs osseuses</term>
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<term>Neoplasm Recurrence, Local</term>
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<term>Tumeurs du foie</term>
<term>Tumeurs du poumon</term>
<term>Tumeurs osseuses</term>
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<term>Bone Neoplasms</term>
<term>Liver Neoplasms</term>
<term>Lung Neoplasms</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Invasiveness</term>
<term>Neoplasm Staging</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Survival Rate</term>
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<term>Europe</term>
<term>Femelle</term>
<term>Grading des tumeurs</term>
<term>Humains</term>
<term>Invasion tumorale</term>
<term>Mâle</term>
<term>Métastase lymphatique</term>
<term>Pronostic</term>
<term>Stade de la tumeur</term>
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<front>
<div type="abstract" xml:lang="en">The clinical course of advanced adrenocortical carcinoma (ACC) is heterogeneous. Our study aimed primarily to refine and make headway in the prognostic stratification of advanced ACC.</div>
</front>
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<PMID Version="1">26392430</PMID>
<DateCreated>
<Year>2015</Year>
<Month>09</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>07</Month>
<Day>07</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>10</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1569-8041</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>26</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2015</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Annals of oncology : official journal of the European Society for Medical Oncology</Title>
<ISOAbbreviation>Ann. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Prognostic factors in stage III-IV adrenocortical carcinomas (ACC): an European Network for the Study of Adrenal Tumor (ENSAT) study.</ArticleTitle>
<Pagination>
<MedlinePgn>2119-25</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1093/annonc/mdv329</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The clinical course of advanced adrenocortical carcinoma (ACC) is heterogeneous. Our study aimed primarily to refine and make headway in the prognostic stratification of advanced ACC.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Patients with advanced ENSAT ACC (stage III or stage IV) at diagnosis registered between 2000 and 2009 in the ENSAT database were enrolled. The primary end point was overall survival (OS). Parameters of potential prognostic relevance were selected. Univariate and multivariate analyses were carried out: model 1 'before surgery'; model 2 'post-surgery'.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Four hundred and forty-four patients with advanced ENSAT ACC (stage III: 210; stage IV: 234) were analyzed. After a median follow-up of 55.2 months, the median OS was 24 months. A modified ENSAT (mENSAT) classification was validated: stage III (invasion of surrounding tissues/organs or the vena renalis/cava) and stage IVa, IVb, IVc (2, 3 or >3 metastatic organs, including N, respectively). Two- or 5-year OS was 73%, 46%, 26% and 15% or 50%, 15%, 14% and 2% for stages III, IVa, IVb and IVc, respectively. In the multivariate analysis, mENSAT stages (stages IVa, IVb, or IVc, respectively) were significantly correlated with OS (P < 0.0001), as well as additional parameters: age ≥ 50 years (P < 0.0001), tumor- or hormone-related symptoms (P = 0.01 and 0.03, respectively) in model 1 but also the R status (P = 0.001) and Grade (Weiss >6 and/or Ki67 ≥ 20%, P = 0.06) in model 2.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The mENSAT classification and GRAS parameters (Grade, R status, Age and Symptoms) were found to best stratify the prognosis of patients with advanced ACC.</AbstractText>
<CopyrightInformation>© The Author 2015. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Libé</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>French Adrenal Cancer Network, Institut National du Cancer, Paris.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Borget</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Department of Biostatistics and Epidemiology, Gustave Roussy and University Paris-Sud, Villejuif, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ronchi</LastName>
<ForeName>C L</ForeName>
<Initials>CL</Initials>
<AffiliationInfo>
<Affiliation>Central Laboratory, Research Unit, University Hospital Wurzburg, Wurzburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Zaggia</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Internal Medicine, San Luigi Hospital, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Kroiss</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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</AffiliationInfo>
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<ForeName>T</ForeName>
<Initials>T</Initials>
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</AffiliationInfo>
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<LastName>Bertherat</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
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<Affiliation>Endocrinology Unit, Cochin Hospital, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Volante</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Oncology, University of Turin, San Luigi Hospital, Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Quinkler</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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</AffiliationInfo>
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<LastName>Chabre</LastName>
<ForeName>O</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>Endocrinology Unit, University Hospital of Grenoble, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Bala</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Tabarin</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
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<Affiliation>Department of Endocrinology, CHU Bordeaux, University of Bordeaux, Bordeaux, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Beuschlein</LastName>
<ForeName>F</ForeName>
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</AffiliationInfo>
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<LastName>Vezzosi</LastName>
<ForeName>D</ForeName>
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</AffiliationInfo>
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<LastName>Deutschbein</LastName>
<ForeName>T</ForeName>
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<Affiliation>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Borson-Chazot</LastName>
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<Initials>F</Initials>
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<Affiliation>Nuclear Medicine Unit, University of Lyon 1, Hospices Civils de Lyon Bron, France.</Affiliation>
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<LastName>Stell</LastName>
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<Initials>A</Initials>
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<Affiliation>Melbourne eResearch Group Level 3, Doug McDonell Building, University of Melbourne, Melbourne, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Fottner</LastName>
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<Initials>C</Initials>
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</AffiliationInfo>
</Author>
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</AffiliationInfo>
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<LastName>Hahner</LastName>
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<Affiliation>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mannelli</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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<Affiliation>Department of Experimental and Clinical Biomedical Sciences 'Mario Serio', Florence.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Berruti</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Spedali Civili Hospital, Brescia, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Haak</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
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<Affiliation>Internal Medicine, Maxima Medisch Centrum, Eindhoven, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Terzolo</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Internal Medicine, San Luigi Hospital, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Fassnacht</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Internal Medicine I, Endocrine and Diabetes Unit, University Hospital Würzburg, University of Würzburg, Würzburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Baudin</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Department of Nuclear Medicine and Endocrine Tumors, Institut Gustave Roussy, Villejuif, France eric.baudin@gustaveroussy.fr.</Affiliation>
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<CollectiveName>ENSAT network</CollectiveName>
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<Country>England</Country>
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<MeshHeading>
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<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
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<MeshHeading>
<DescriptorName UI="D001859" MajorTopicYN="N">Bone Neoplasms</DescriptorName>
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<QualifierName UI="Q000556" MajorTopicYN="Y">secondary</QualifierName>
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<MeshHeading>
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<QualifierName UI="Q000556" MajorTopicYN="Y">secondary</QualifierName>
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