Department of Pathology, Cancer Institute (WIA), Chennai, Tamil Nadu, India.
We present here a rare case of synchronous adrenocortical carcinoma (ACC) and renal cell carcinoma (RCC). A 27-year-old woman presented with gradual abdominal distension, hematuria, and loss of weight of 3-months duration. She gave a history of treatment for hypertension. The computed axial tomography (CT) scan revealed a large retroperitoneal mass. Her urinary VMA was slightly elevated. Her 24-h urinary metanephrine level was normal. The patient underwent left adrenalectomy, left nephrectomy, spleenectomy, and distal pancreactomy with segmental colonic resection. Postoperative pathology revealed ACC of left suprarenal measuring 22 × 19 × 18 cm3 and RCC involving the left upper pole of kidney measuring 3 × 2 × 1 cm3.
Written by:
Majhi U, Murhekar KM, Reddy MP, Narayanaswamy K. Are you the author?
Reference: Indian J Endocrinol Metab. 2011 Jul;15(3):214-6.
doi: 10.4103/2230-8210.83409
PubMed Abstract
PMID: 21897901
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