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
in English
| WPRIM
| ID: wpr-65022
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Vena Cava, Inferior
/
Biopsy
/
Remission Induction
/
Echocardiography
/
Tomography, X-Ray Computed
/
Follow-Up Studies
/
Adrenal Cortex Neoplasms
/
Adrenocortical Carcinoma
/
Heart Atria
/
Heart Neoplasms
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2006
Type:
Article
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