Insuficiencia suprarrenal y crisis addisoniana como primera manifestación de cáncer de pulmón y metástasis suprarrenal bilateral: Caso clínico / Addisonian crisis caused by metastatic lung cancer: Report of one case
Rev. méd. Chile
;
139(9): 1196-1200, set. 2011. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-612245
ABSTRACT
Addisonian crisis as a first manifestation of metastatic disease secondary to cancer is uncommon. We report a 63-year-old man with a history of one year of fatigue, weakness, weight loss and repeated symptomatic hypoglycemia. The cortisol stimulation test with ACTH confirmed primary adrenal insufficiency. While receiving adequate treatment with oral hydrocortisone, he presented an adrenal crisis that was treated properly. A CT scan of the lung demonstrated a nodule in the upper right lobe and bilateral adrenal tumors. The biopsy of the lesion revealed a lung adenocarcinoma. The staging with positron emission tomography using 18 fluoroglucose (PET/CT18F- FDG) showed hypermetabolic uptake in the primary lung tumor and in both adrenal glands, suggesting metastatic implants.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Addison Disease
/
Adenocarcinoma
/
Adrenal Gland Neoplasms
/
Lung Neoplasms
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2011
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital del Salvador/CL
/
Universidad de Chile/CL
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