Cardiac and caval invasion of left adrenocortical carcinoma
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Date
2008
Authors
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Journal ISSN
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Publisher
Karger
Abstract
Adrenocortical carcinoma (ACC) is a rare and highly malignant neoplasm. We present the case of a 51-year-old male patient with a left-sided ACC admitted to hospital with ipsilateral flank pain, weight loss, difficulty in breathing, abdominal discomfort and swelling and bilateral leg edema. Thoracoabdominal computed tomography revealed a huge adrenal mass with obvious tumor thrombus involvement of the inferior vena cava and right atrium. This is the first report describing caval and opposite side renal vein invasion of a left-sided ACC treated with grafting of the vessels. Histopathological examination of the tumors confirmed the diagnosis of ACC. Postoperative recovery was uneventful. The patient received an adrenolytic agent, mitotane, postoperatively and is alive with no evidence of recurrence after 2 years of follow-up.
Description
Keywords
Urology & nephrology, Adrenocortical carcinoma, Inferior vena cava, Invasion, Thrombus, Adrenal-cortical carcinoma, Inferior vena-cava, Extension, Series
Citation
Yavaşçaoğlu, İ. vd. (2008). "Cardiac and caval invasion of left adrenocortical carcinoma". Urologia Internationalis, 81(2), 244-246.