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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Resection of giant adrenal cortical carcinoma: a case report
Alexandre Stievano Carlos1, Benjamim Soares de Carvalho Neto, Fábio Luiz de Souza
1Servicio de Urología. Hospital Santa Marcelina. São Paulo. Brasil.
Objective:
We report a case of nonfunctioning giant adrenal cortical carcinoma undergoing complete resection.
Methods:
We report the case and evolution of a woman who underwent resection of a giant adrenal carcinoma at Santa Marcelina Hospital.
Results:
A 49-year-old female presented with palpable mass in the right hypochondrium extending 5 cm down from the right costal margin. Abdominal CT Scan found a large mass occupying the right adrenal region with areas suggestive of necrosis, in close contact with the liver, pushing the right kidney inferiorly and extending to the midline. Biochemical tests to evaluate hormonal secretion resulted in levels within the normal range characteristic of a non-functioning adrenal neoplasm. The treatment of choice was resection of the abdominal mass; the surgical specimen greatest diameter was 21 cm and weighed 2106 grams. It was an adrenal cortical carcinoma.
Conclusions:
Options for the treatment of adrenal cortical carcinoma showed no significant advances in recent decades and complete surgical resection remains the most effective treatment for adrenal cortical carcinoma, even in patients with bulky tumor masses.
