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A Case of an Adrenocortical Carcinoma with Pulmonary Embolism as the Initial Manifestation
Endocrinology and Metabolism ; : 93-97, 2012.
Artigo em Coreano | WPRIM | ID: wpr-107378
ABSTRACT
The annual incidence of a first episode of deep vein thrombosis or pulmonary embolism (PE) in the general population is 120 per 100,000. Cancer is associated with an approximately 4- to 7-fold higher risk of thrombosis. Adrenocortical carcinoma (ACC) is a rare type of malignancy, accounting for 0.02% of all cancers reported annually. Approximately 40% of ACCs are nonsecretory. Most patients with nonsecreting tumors have clinical manifestations related to tumor growth (e.g., abdominal or flank pain). Often the adrenal mass is detected by chance via radiographic imaging. As a result, most ACC patients are diagnosed at an advanced stage and have a poor prognosis. Herein, we report a case of a 54-year-old woman who was admitted to our emergency department complaining of dyspnea. She was diagnosed with ACC accompanied by thrombi in the pulmonary artery and inferior vena cava. We performed a left adrenalectomy and administered adjuvant radiotherapy. The patient is currently receiving warfarin and adjuvant mitotane therapy. She was incidentally diagnosed with ACC, with PE as the initial manifestation.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Prognóstico / Artéria Pulmonar / Embolia Pulmonar / Trombose / Veia Cava Inferior / Varfarina / Incidência / Carcinoma Adrenocortical / Adrenalectomia / Radioterapia Adjuvante Tipo de estudo: Estudo de incidência / Estudo prognóstico Limite: Feminino / Humanos Idioma: Coreano Revista: Endocrinology and Metabolism Ano de publicação: 2012 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Prognóstico / Artéria Pulmonar / Embolia Pulmonar / Trombose / Veia Cava Inferior / Varfarina / Incidência / Carcinoma Adrenocortical / Adrenalectomia / Radioterapia Adjuvante Tipo de estudo: Estudo de incidência / Estudo prognóstico Limite: Feminino / Humanos Idioma: Coreano Revista: Endocrinology and Metabolism Ano de publicação: 2012 Tipo de documento: Artigo