Table 1.
No | Authors | Sex | Age, years | Tumour location | Size | AFP, ng/mL | Treatment | Immunohistochemistry | Outcome |
1 | Current authors | M | 47 | Left adrenal gland | 11.2×15.2×5.5 cm3 | 321 495 | Supportive treatment | AE1/AE3 ⨁, arginase-1 ⨁, CAM5.2 ⨁, glypican-3 ⨁, HepPar1 ⨁ and Ki-67 20%, alpha-inhibin ⊖, chromogranin A ⊖, S100 ⊖, synaptophysin ⊖ | Death at 3 weeks after diagnosis |
2 | Yoshioka et al6 | M | 57 | Left adrenal gland | 8×5 cm2 | 30 500 | Thoracoabdominal nephro-adrenalectomy | N/A | N/A |
3 | Yi et al *13 | M | 57 | Left adrenal gland | 3.5×2.2×2 cm3 | 570 | Surgery | HepPar1⨁, AFP ⨁, ferritin ⨁, CEA ⨁, CK8 ⨁, CK18 ⨁, α1-ACT, α1-AT ⨁ | N/A |
4 | Malya et al11 | F | 48 | Right adrenal gland | 4×5 cm2 | 3900 | Surgery+radiotherapy+5FU and gemcitabine | AFP ⨁, glipan ⨁, CK8 ⨁, HepPar1⨁, CK17⨁, CK19⨁, luminal/focal ⨁, polygonal CEA ⨁ | N/A |
5 | Jing et al*14 | M | 53 | Left adrenal gland | 13×10×8 cm3 | 31 353 | Oxaliplatin+capecitabine | HepPar1 ⨁, CK ⨁, AFP ⨁, Ki-67 30%, CD34 ⨁ | Alive at 7 months of follow-up |
6 | Liu et al2 | M | 60 | Right adrenal gland | 5×7 cm2 | 6.39 | Surgery | HepPar1 ⨁, glapican-3 ⨁, CD34 ⨁, CK ⨁, AFP ⊖, α-inhibin ⊖, CgA ⊖ and CEA ⊖ | Alive at 30 months of follow-up |
7 | Zhang and Hua*12 | M | 57 | Left adrenal gland | 13×10×9 cm3 | >13 000 | Surgery+oxaliplatin+gemcitabine | EMA ⨁, CK8 ⨁, AFP ⨁, hepatocyte ⨁, CK18 ⨁, CD10 ⨁ | Alive at 7 months of follow-up |
8 | Lin et al3 | M | 64 | Left adrenal gland | 9.3×8.9×9.7 cm3 | 2.75 | mFOLFOX6×4 cycles, transcatheter arterial chemoembolisation, apatinib | TTF-1 ⊖, CK5/6 ⊖, P63 ⊖, NSE ⊖, synaptophysin ⊖, chromogranin A ⊖, CK8/18 ⨁, CK19 ⨁, CK7 ⨁, CD 20 ⊖, hepatocyte ⨁, vimentin ⊖, HepPar1⨁ | Death at 9 months after diagnosis |
9 | Deng et al4 | M | 83 | Left adrenal gland | 13×8.7×11 cm3 | >24 200 | Surgery+sorafenib | HepPar1⨁, glypican-3 ⨁, AFP ⨁, arginase-1 ⨁, Ki-67 50% | Death at 9 months after diagnosis |
*Published in Chinese.
AFP, alpha-fetoprotein; CEA, carcinoembryonic antigen; CK, cytokeratin; EMA, epithelial membrane antigen; 5FU, 5-fluorouracil; N/A, not available; NSE, neuron specific enolase.