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[Non-functioning adrenal cortical carcinoma: a case report--MRI findings]
T Ishida1, K Miyazaki, O Yokoyama
1Department of Urology, Fujita Memorial Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|February 1, 1991
Summary
A non-functioning adrenal cortical carcinoma was diagnosed in a 42-year-old woman presenting with flank pain. Surgical removal and subsequent treatment showed no recurrence after 7 months.
Area of Science:
- Oncology
- Endocrinology
- Radiology
Background:
- Adrenal tumors can present with vague symptoms, necessitating advanced imaging for diagnosis.
- Non-functioning adrenal tumors require careful evaluation to rule out malignancy.
- Adrenal cortical carcinoma is a rare but aggressive endocrine malignancy.
Observation:
- A 42-year-old woman presented with left flank pain, with imaging revealing a left adrenal mass.
- Computed tomography and MRI demonstrated a non-homogenous adrenal tumor with specific signal characteristics on T2-weighted images.
- Laboratory tests did not indicate any hormonal dysfunction.
Findings:
- Histological examination confirmed adrenal cortical carcinoma with no lymph node metastasis.
- The patient underwent transperitoneal left adrenalectomy and nephrectomy.
- Post-operative treatment with o,p'-DDD was initiated.
Implications:
- Early diagnosis and surgical intervention are crucial for managing adrenal cortical carcinoma.
- Adjuvant therapy may improve outcomes in patients with adrenal cortical carcinoma.
- This case highlights the importance of comprehensive diagnostic workup for adrenal masses.