RESUMO
We report two women aged 48 and 65 years old with hirsutism and a painful abdominal mass. Laboratory assessment showed serum testosterone levels of 500 and 321 ng/dl (normal values below 110 ng/ml). Abdominal CAT scans showed an adrenal mass in both patients. The younger woman was subjected to a surgical resection, the tumor relapsed two years later and the patient died. The other woman died during the first hospitalization. Adrenal tumors infrequently secrete testosterone as described in these two patients.
Assuntos
Neoplasias das Glândulas Suprarrenais/metabolismo , Carcinoma/metabolismo , Testosterona/metabolismo , Neoplasias das Glândulas Suprarrenais/diagnóstico por imagem , Neoplasias das Glândulas Suprarrenais/cirurgia , Idoso , Carcinoma/diagnóstico por imagem , Carcinoma/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
A 50 year-old male with diffuse hyperthyroid goiter treated with I131 who develops a papillary carcinoma is presented. After thyroid resection, substitution therapy with thyroid hormone (levothyroxine) was started, and a selective malabsorption for this hormone was verified.