Metastatic renal cell carcinoma in the contralateral adrenal gland of a 65 year old male 10 years after radical nephrectomy

A case of a 65 year old male from Tondo, Manila with metastatic Renal Cell Carcinoma (RCC) in the contralateral adrenal gland is presented. He underwent a left radical nephrectomy back in May 1992 after which he remained asymptomatic. Only the finding of a right adrenal mass 10 years later would stand to challenge his "cured" state. The steps that lead to the diagnosis and the subsequent management of his case are discussed here. (Author)

Feminizing genitoplasty for a 3-year old female with ambiguous genitalia and congenital adrenal hyperplasia due to 21-hydroxylase deficiency

A case of a 3 year old female from Guam, USA with ambiguous genitalia is presented. She was previously diagnosed at early neonatal period with salt wasting variant of Classic Congenital Adrenal Hyperplasia (CAH) due to 21-hydroxylase deficiency. She was maintained on fluodrocortisone and hydrocortisone since then. Referral to a Urologist was made only at this time for genitoplasty. The pathophysiology, diagnosis and treatment of her condition are discussed here with emphasis on the surgical reconstruction with reduction clitoroplasty and flap vaginoplasty. (Author)