An Adrenocortical Carcinoma Evolving After Nine Years of Latency From a Small Adrenal Incidentaloma.

Autor: Kohli HS; Department of Hospital Medicine, Saint Vincent Hospital, Erie, USA., Manthri S; Department of Oncology, Mary Bird Perkins Cancer Center, Houma, USA., Jain S; Department of Internal Medicine, MVJ Medical College, Bengaluru, IND., Kashyap R; Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, USA., Chen S; Department of Pathology, Memorial Medical Center, Springfield, USA., Koritala T; Department of Internal Medicine, Mayo Clinic Health System, Mankato, USA., Tekin A; Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, USA., Adhikari R; Department of Hospital Medicine, Franciscan Health, Lafayette, USA.; Department of Geriatrics, Brown University, Providence, USA., Tirupathi R; Department of Internal Medicine, Keystone Health, Chambersburg, USA., Barbaryan A; Department of Internal Medicine, University of Kansas Health System, Kansas City, USA., Zec S; Department of Critical Care Medicine, Mayo Clinic, Rochester, USA., Wang H; Department of Hospital Medicine, Mayo Clinic Health System, Mankato, USA., Welle S; Department of Cardiology, Mayo Clinic Health System, Mankato, USA., Devulapally P; Nephrology, Methodist Hospital, San Antonio, USA., Sheraton M; Emergency Medicine, Johns Hopkins University, Baltimore, USA., Kaur M; Department of Medicine, Drishti Advanced Eye and Diabetes Care Center, Patiala, IND., Pattan V; Division of Endocrinology, Wyoming Medical Center, Casper, USA., Mamillapalli CK; Division of Endocrinology, Southern Illinois University School of Medicine, Springfield, USA.; Department of Endocrinology, Springfield Clinic, Springfield, USA., Surani SR; Department of Pulmonary and Critical Care Medicine, Texas A&M University, Corpus Christi, USA., Khan SA; Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA., Jain NK; Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2021 Aug 03; Vol. 13 (8), pp. e16851. Date of Electronic Publication: 2021 Aug 03 (Print Publication: 2021).
DOI: 10.7759/cureus.16851
Abstrakt: Adrenal incidentalomas (AIs) are common incidental findings in medical practice with clinical significance. Although most AIs are nonsecretory and nonmalignant, they require a short course of follow-up over one to two years to rule out malignancy or hormonal secretion according to clinical practice guidelines. However, this can result in some adrenocortical carcinomas (ACCs) being missed if they transform at a later stage or evolve slowly. Here, we report one such case of an AI, which although remained indolent, eventually transformed into an ACC many years after the initial detection.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Kohli et al.)
Databáze: MEDLINE