Adrenal cancer with hypertension but low plasma renin and aldosterone.
J Formos Med Assoc
; 98(1): 73-5, 1999 Jan.
Article
in En
| MEDLINE
| ID: mdl-10063279
Patients with malignant lesions of the adrenal gland may present with a syndrome of excess mineralocorticoids. Both primary hyperaldosteronism and excess mineralocorticoids other than aldosterone resulting from adrenal carcinoma have rarely been reported. In most patients with adrenal tumors secreting mineralocorticoids other than aldosterone, distant metastasis had already occurred at the time of diagnosis and the prognosis was poor. We present a rare case of adrenal cancer with hypertension in a patient with low plasma renin activity and a low plasma aldosterone concentration. The patient's blood pressure returned to normal after removal of the tumor. The patient is still alive and without recurrence 6 years after surgery. This case illustrates the value of thorough evaluation of hypertension and prompt surgical treatment for patients with adrenal cancer.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Carcinoma
/
Renin
/
Adrenal Cortex Neoplasms
/
Aldosterone
/
Hypertension
Type of study:
Prognostic_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
J Formos Med Assoc
Journal subject:
MEDICINA
Year:
1999
Document type:
Article
Affiliation country:
Taiwan
Country of publication:
Singapore