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
em En
| WPRIM
| ID: wpr-65022
Biblioteca responsável:
WPRO
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.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Veia Cava Inferior
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Biópsia
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Indução de Remissão
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Ecocardiografia
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Tomografia Computadorizada por Raios X
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Seguimentos
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Neoplasias do Córtex Suprarrenal
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Carcinoma Adrenocortical
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Átrios do Coração
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Neoplasias Cardíacas
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Adult
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Humans
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Male
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
2006
Tipo de documento:
Article