Journal of

Case Reports and Images in Oncology

 
     
Case Report
 
Unrecognized androgen secreting huge adrenocortical carcinoma in need of urgent surgery
Gianfilippo Nifosì1, Freddy Mboti2, Yves Dernier3, Ruth Dutmann4
1Departement of Internal Medecine, Hemato-Oncologic Clinic.
2Departement of Surgery - Digestive Surgery.
3Departement of Surgery - Vascular Surgery.
4Departement of Pathology; Brugmann University Hospital, Brussels (Belgium).

Article ID: 100029Z10GN2016
doi:10.5348/Z10-2016-29-CR-20

Address correspondence to:
Gianfilippo Nifosi
Departement of Internal Medecine
Hemato-Oncologic Clinic

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How to cite this article:
Nifosì G, Mboti F, Dernier Y, Dutmann R. Unrecognized androgen secreting huge adrenocortical carcinoma in need of urgent surgery. J Case Rep Images Oncology 2016;2:84–88.


Abstract
Introduction: The adrenocortical carcinoma is a rare aggressive endocrine malignancy that presents itself as an abdominal mass, symptomatic or incidental, often locally advanced or metastatic disease. Surgical resection when possible is the treatment of choice and margin-free resection is the most important prognostic factor for long survival.
Case Report: In this paper, we describe the case of a woman of 58-year-old, bearer of an enormous androgen-secreting cancer, which has gone unnoticed for years, presenting with abdominal hemorrhagic syndrome which required surgical resection in emergency.
Conclusion: In view of prognostic factors, we decided to complete the radical treatment with local radiotherapy and adjuvant mitotane.

Keywords: Aggressive endocrine cancer, Cancer surgery, Emergency


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Author Contributions
Gianfilippo Nifosì – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Freddy Mboti – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yves Dernier – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ruth Dutmann – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Gianfilippo Nifosì et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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