Biology is Destiny: A Case of Adrenocortical Carcinoma Diagnosed and Resected at Inception in a Patient Under Close Surveillance for Lung Cancer

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• 作者：Benjamin Miron^a ; Benjamin T. Ristau^a ; Jeffrey J. Tomaszewski^a ; Josh Jones^a ; Bart Milestone^b ; Yu-Ning Wong^c ; Robert G. Uzzo^a ; Donna Edmondson^d ; Walter Scott^d ; Alexander Kutikov^a ; ^{alexander.kutikov@fccc.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Adrenocortical carcinoma ; Adrenal cancer ; Incidental adrenal mass ; Incidentaloma
• 刊名：Urology Case Reports
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：9
• 期：Complete
• 页码：9-11
• 全文大小：739 K

文摘

Adrenocortical carcinoma (ACC) is a rare malignancy that is generally associated with a poor prognosis whose existence dictates the management of incidental renal masses. We report a case of ACC diagnosed and treated at its apparent inception in a patient undergoing close surveillance imaging of a prior malignancy. Despite timely detection and resection of a localized ACC this patient rapidly progressed to systemic disease. This case highlights the rapid growth kinetics of ACC and puts into perspective the challenges associated with the established treatment paradigm for patients diagnosed with an adrenal mass.