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Virilizing Adrenocortical Carcinoma Resected With Negative Margins Treated With Surgery Alone
Tyler Fields1, Kelsee Felux2, Alejandro Chavarriaga1
1Department of Graduate Medical Education, 24444Wellstar Atlanta Medical Center, Atlanta, GA, USA.
The American Surgeon
|November 15, 2021
Summary
This report details a rare case of virilizing adrenocortical carcinoma, a unique tumor. Successful surgical resection was achieved, with the patient experiencing a return of normal menstrual cycles post-operation.
Area of Science:
- Endocrinology
- Oncology
Background:
- Adrenocortical carcinoma is a rare endocrine malignancy.
- Virilizing adrenocortical carcinoma presents unique diagnostic and management challenges.
Observation:
- A rare case of virilizing adrenocortical carcinoma with a distinct clinical presentation over 8 years.
- Physical examination revealed significant changes indicative of the tumor's progression.
Findings:
- The tumor was surgically resected with technical difficulty.
- Post-operatively, the patient experienced a recurrence of the menstrual cycle.
- No adjuvant therapy was required, and no steroid supplementation was needed.
Implications:
- This case highlights the importance of long-term monitoring for rare endocrine tumors.
- Successful surgical management can lead to significant improvements in quality of life.
- Further research into the management of virilizing adrenocortical carcinoma is warranted.
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