A Case of Non-Functioning Huge Adrenocortical Carcinoma Extending Into Inferior Vena Cava and Right Atrium
Journal of Korean Medical Science
; : 572-576, 2006.
Article
in En
| WPRIM
| ID: wpr-65022
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ABSTRACT
Primary adrenocortical carcinoma (ACC) is a rare tumor and its usual sites of metastasis are the lung (71%), lymph node (68%), liver (42%), and bone (26%). However, intracaval invasion extending into the right atrium is very rare and spontaneous regression of tumor burden in adrenal carcinoma is also rare. We report a case of ACC with direct invasion of the inferior vena cava and right atrium. A 34-yr-old male patient presented with progressive dyspnea, weight loss, and poor oral intake over 3 months. Non-functioning ACC with direct invasion of the inferior vena cava and right atrium was confirmed by imaging, pathologic, and hormonal study. Chemo-radiotherapy was attempted. However, tumor burden was not changed, but rather toxic hepatitis and thrombocytopenia were developed. His subjective symptoms and general conditions were improved after 1 month of conservative management and the patient was discharged. During clinical follow-up, this tumor showed spontaneous regression.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Vena Cava, Inferior
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Biopsy
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Remission Induction
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Echocardiography
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Tomography, X-Ray Computed
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Follow-Up Studies
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Adrenal Cortex Neoplasms
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Adrenocortical Carcinoma
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Heart Atria
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Heart Neoplasms
Type of study:
Observational_studies
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Prognostic_studies
Limits:
Adult
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Humans
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Male
Language:
En
Journal:
Journal of Korean Medical Science
Year:
2006
Type:
Article