Adrenal cancer refers to malignant tumours arising in the adrenal glands, small triangular glands located on top of each kidney that produce vital hormones including adrenaline, cortisol, and aldosterone. Adrenocortical carcinoma (ACC) is a rare but aggressive primary adrenal malignancy, while adrenal phaeochromocytoma is a tumour of the adrenal medulla that can cause dangerous surges in blood pressure. Adrenal metastases from other cancers are also encountered.
Adrenal cancer refers to malignant tumours arising in the adrenal glands, small triangular glands located on top of each kidney that produce vital hormones including adrenaline, cortisol, and aldosterone. Adrenocortical carcinoma (ACC) is a rare but aggressive primary adrenal malignancy, while adrenal phaeochromocytoma is a tumour of the adrenal medulla that can cause dangerous surges in blood pressure. Adrenal metastases from other cancers are also encountered.
Dr. Rahul Wagh is an experienced adrenal tumour surgeon in Pune offering laparoscopic adrenalectomy, the preferred minimally invasive approach for most adrenal tumours. For large adrenocortical carcinomas, open adrenalectomy with en bloc resection of adjacent structures is performed at Manipal Hospital, Baner, where Dr. Wagh has access to the necessary perioperative infrastructure to manage the unique anaesthetic and haemodynamic challenges these tumours present.
Pre-operative evaluation of adrenal tumours requires careful hormonal assessment including 24-hour urinary catecholamines, serum cortisol, and aldosterone levels. At his Baner clinics, Dr. Wagh works with endocrinologists in Pune to ensure thorough hormonal workup and appropriate medical preparation (particularly alpha-blockade for phaeochromocytoma) before proceeding to surgery.
Warning Signs to Watch For
Adrenal Cancer in its early stages may not cause obvious symptoms, which is why recognising these warning signs and seeking prompt evaluation in Pune is critical:
1. High blood pressure that is difficult to control
2. Excessive sweating, palpitations, and headaches (phaeochromocytoma triad)
3. Weight gain, moon face, and stretch marks (Cushing's syndrome from cortisol excess)
4. Low potassium and high blood pressure (Conn's syndrome, aldosterone excess)
5. An incidental adrenal mass found on CT (incidentaloma)
6. Unexplained weight loss and abdominal pain
7. Virilisation in women (excess androgens from ACC)
8. General fatigue and weakness
Why Choose Dr. Rahul Wagh for Adrenal Cancer in Pune?
MCH Surgical Oncology
Highest qualification in surgical oncology with specialised fellowship training in robotic-assisted and laparoscopic cancer surgery, rare expertise available in Pune.
Oncoplastic Techniques
Breast-conserving surgeries that combine tumour removal with immediate aesthetic reconstruction, prioritising both oncological safety and quality of life.
Robotic Precision
Robotic-assisted surgery provides greater accuracy, smaller incisions, reduced blood loss and a significantly faster recovery compared to open surgery.
5000+ Proven Surgeries
A track record of successful outcomes across 5000+ cancer surgeries. Trusted by patients from Baner, Aundh, Wakad, Hinjewadi and across Pune.
Adrenal Cancer Surgical Treatment Options in Pune
Dr. Rahul Wagh offers the following surgical treatment options at his clinics in Baner, Pune:
Laparoscopic Adrenalectomy
Minimally invasive removal of the adrenal gland, preferred approach for most adrenal tumours ≤ 8cm
Open Adrenalectomy
Open surgical adrenal removal for large adrenocortical carcinomas or locally invasive tumours
Phaeochromocytoma Resection
Specialised adrenalectomy with pre-operative alpha-blockade for adrenaline-secreting tumours
En Bloc Resection for ACC
Extended resection including adjacent kidney or lymph nodes for locally advanced adrenocortical carcinoma
Adrenal Metastasectomy
Removal of isolated adrenal metastases from other primary cancers (lung, melanoma, RCC)
Bilateral Adrenalectomy
Removal of both adrenal glands for bilateral tumours with lifelong hormone replacement
Your Adrenal Cancer Treatment Journey in Pune
1
Hormonal Workup at Baner Clinic
24-hour urinary catecholamines, metanephrines, cortisol, aldosterone, and CT adrenal protocol.
2
Pre
Operative Alpha-Blockade (for PHEO), 10–14 days of phenoxybenzamine or doxazosin before surgery for phaeochromocytoma.
3
Laparoscopic or Open Adrenalectomy
Adrenal tumour removal at Manipal Hospital, Baner with close haemodynamic monitoring.
4
Post
Surgery Hormone Replacement & Surveillance, Hydrocortisone replacement after bilateral adrenalectomy, surveillance imaging, and mitotane therapy for ACC.
Other Cancer Types Treated by Dr. Rahul Wagh in Pune
In addition to breast cancer, Dr. Wagh provides expert surgical oncology care for the following cancer types in Pune:
Frequently Asked Questions, Adrenal Cancer in Pune
A phaeochromocytoma is a tumour of the adrenal medulla that secretes excess adrenaline and noradrenaline, causing dangerous spikes in blood pressure, sweating, palpitations, and headaches. It requires specialised pre-operative preparation before surgery.
An adrenal incidentaloma is an adrenal mass discovered unexpectedly on imaging performed for another reason. It requires evaluation to determine whether it is benign or malignant, and whether it is hormonally active.
Adrenalectomy for localised adrenocortical carcinoma offers the best chance of cure. However, ACC has a tendency to recur, and adjuvant therapy with mitotane is often recommended.
Laparoscopic adrenalectomy typically requires 1–2 days in hospital and 2–3 weeks to full recovery, significantly faster than open surgery.
Dr. Wagh consults at Manipal Hospital, Baner and High Street Square, Baner Gaon. Call +91 8956002781.
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