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Adrenal Cancer: Understanding the Rare Disease and Its Challenges
Table of Contents
- 1. Adrenal Cancer: Understanding the Rare Disease and Its Challenges
- 2. What is Adrenal Cancer?
- 3. What Causes Adrenal Cancer?
- 4. How Rare is Adrenal Cancer?
- 5. How is Adrenal Cancer Discovered?
- 6. What are some innovative strategies for increasing research funding specifically for rare cancers like adrenal cancer?
- 7. Understanding Adrenal Cancer: An Interview with Dr. Evelyn Hayes
- 8. What is Adrenal Cancer, Dr. Hayes?
- 9. What Causes Adrenal Cancer to Develop?
- 10. How Rare is Adrenal Cancer?
- 11. How is Adrenal Cancer Typically Discovered?
- 12. Beyond early detection, what are some of the biggest challenges in treating adrenal cancer?
- 13. What Key Message Would You Like To Leave For Our readers?
Adrenal cancer, also known as adrenocortical carcinoma, is a rare malignancy that forms in the adrenal glands. While early detection can lead to a cure, advanced stages often require treatments focused on slowing its spread. Understanding the nuances of this disease is crucial for both patients and healthcare professionals.
What is Adrenal Cancer?
The adrenal glands, situated atop the kidneys, are vital for hormonal regulation. actress Emilie Dequenne, in a 2024 interview, described them as responsible for “hormonal management of a lot of things.” These glands have two main parts: the cortex (outer layer) and the medulla (inner layer).
- cortex: Produces hormones like cortisol (for sugar management) and aldosterone (for kidney function).
- Medulla: Produces adrenaline.
Adrenal cancer develops in the adrenal cortex. Oncological Surgeon Thomas Shower of UZ Leuven explains, “You have 2 parts in each of the adrenal glands… You have produced the outside of the adrenal gland (the bark), where a number of hormones are produced that play a role in, among othre things, the sugar management and that help with the functioning of the kidney. Then there is the inside (the marrow) and it produces adrenaline.” Tumors can be benign or malignant; malignant tumors are classified as adrenal cancer or adrenocortical carcinoma.
What Causes Adrenal Cancer?
In many cases, the exact cause of adrenal cancer remains elusive. Shower notes that a clear cause is rarely demonstrable. However, about 50% of cases are linked to congenital genetic deviations, predisposing individuals to various tumors.
The remaining 50% of cases appear spontaneously due to errors during cell division, a phenomenon Shower describes as “a mistake during a cell division such as actually every cancer, rather coincidental.” This highlights the unpredictable nature of cancer progress.
How Rare is Adrenal Cancer?
Adrenal cancer is exceptionally rare. In the Netherlands and Belgium, approximately one person per million is diagnosed annually.Shower states, “Those figures are approximately the same in Belgium. That amounts to six to fifteen patients who present themselves in Belgian hospitals a year.” At the expert centre for adrenal tumors in UZ Leuven, around 40 adrenal operations are performed each year, with only 5 to 6 being for adrenal cancer.
The other operations frequently enough involve benign adrenal tumors that, while not life-threatening, can cause significant health issues due to hormone overproduction, such as increased blood pressure. As Shower explains: “There are also adrenal tumors that are benign. They can cause nuisance or cause too many hormones to be produced.There is no risk of death there, but the long -term consequences of hormone production can, for example, cause increased blood pressure. That must also be solved.”
How is Adrenal Cancer Discovered?
Adrenal tumors can be categorized into those that produce hormones and those that do not. Non-hormone-producing tumors are frequently enough described as a “sphere that grows in the belly,” making detection challenging as “”Because the adrenal gland is at the very back of the abdomen, so there is a relatively large amount of room to grow before problems arise.”
These tumors are frequently discovered incidentally during scans for other conditions.Dequenne’s experience, discovered in 2023, underscores this: “I was on the film set and had a lot of abdominal pain and was very tired. One thing led to another and a kind of nightmare started…
What are some innovative strategies for increasing research funding specifically for rare cancers like adrenal cancer?
Understanding Adrenal Cancer: An Interview with Dr. Evelyn Hayes
Adrenal cancer, or adrenocortical carcinoma, presents unique challenges due to its rarity. Today, we speak with dr. Evelyn Hayes, a leading oncologist specializing in rare cancers, to shed light on this complex disease.
What is Adrenal Cancer, Dr. Hayes?
Dr. Hayes: Essentially, adrenal cancer is a malignancy that develops in the adrenal glands, which sit atop your kidneys. These glands are crucial as they produce hormones like cortisol and adrenaline. Actress Émilie Dequenne described them well as responsible for the “hormonal management of a lot of things.” The cancer specifically originates in the adrenal cortex, the outer layer responsible for producing vital hormones.
What Causes Adrenal Cancer to Develop?
Dr. Hayes: That’s a complex question. In many cases, we can’t pinpoint a specific cause. About 50% of cases are associated with congenital genetic deviations, predisposing individuals to developing various tumors. The other half seem to occur spontaneously, likely due to errors during cell division, as Oncological Surgeon Thomas Shower mentioned, “a mistake during a cell division such as actually every cancer, rather coincidental.”
How Rare is Adrenal Cancer?
Dr. Hayes: It’s exceptionally rare. The incidence is about one in a million people annually. As Shower explained, in smaller countries like Belgium, that might translate to only a handful of cases presenting each year.
How is Adrenal Cancer Typically Discovered?
Dr. Hayes: Often, it’s discovered incidentally. Adrenal tumors can be hormone-producing or non-hormone-producing. Non-hormone-producing tumors can grow quite large before causing noticeable symptoms,as as Shower noted,”the adrenal gland is at the very back of the abdomen,so there is a relatively large amount of room to grow before problems arise.”. They’re often found during scans performed for unrelated conditions. Émilie Dequenne’s experience, regrettably, highlights this, as her diagnosis stemmed from investigating abdominal pain while on a film set.
Beyond early detection, what are some of the biggest challenges in treating adrenal cancer?
Dr. Hayes: Due to its rarity, research funding can be limited, making it more arduous to develop new and improved treatment options. Also, the fact that it’s often discovered at a later stage impacts treatment efficacy.
What Key Message Would You Like To Leave For Our readers?
Dr. Hayes: Be vigilant about your health and pay attention to any persistent or unusual symptoms. While adrenal cancer is rare,early detection is crucial. And, perhaps most importantly, support research into rare cancers; every contribution, no matter the size, can make a important difference.
what more can be done to raise awareness and funding for research into rare cancers like adrenal cancer? Share your thoughts in the comments below.