OBJECTIVE:To present a case of giant adrenal carcinoma associated with renal vein and inferior vena cava (IVC) thrombus.
Up to now, there is no similar case reported in the national literature.
METHODS:75 year old woman with signs of virilization. CT-scan showed an 18 cm adrenal mass with venous thrombus and possible pulmonary metastases. The working diagnosis was primary suprarenal carcinoma.
RESULT:Due to elderly age and advanced stage, including metastasis, we decided to not perform surgery, and initiate chemotherapy.
CONCLUSIONS: Adrenal Cancer is an infrequent and very aggressive tumor. Surgery is the only curative treatment. In advanced stages chemotherapy is recommended, but with poor results.
Written by:
Garrido Abad P, Gómez de Vicente JM, Herranz Fernández LM, Jiménez Gálvez M, Santos Arrontes D, Suárez Fonseca C, Fernández Arjona M. Are you the author?
Urology Department, Henares Hospital, Coslada, Spain.
Reference: Arch Esp Urol. 2012 Jun;65(5):570-4.
PubMed Abstract
PMID: 22732784
Article in English, Spanish.
UroToday.com Adrenal and Kidney Conditions Section
