Recurrent Hypokalemia as an Unusual Presentation for Metastatic Adrenocortical Cancer.

Autor: Mirza N; Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA., Mekheal E; Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA., Kania BE; Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA., Kumar V; Oncology, St. Joseph Regional Medical Center, Paterson, USA., Maroules M; Hematology and Oncology, St. Joseph's University Medical Center, Paterson, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Jun 15; Vol. 14 (6), pp. e25954. Date of Electronic Publication: 2022 Jun 15 (Print Publication: 2022).
DOI: 10.7759/cureus.25954
Abstrakt: Adrenocortical cancer is a rare malignancy of the endocrine system. Therefore, when this malignancy presents with metastatic disease, this leads to further difficulties in management. Due to the rare and ambiguous nature of this malignancy, diagnosis is generally made at later stages, with limited options for patients. Symptoms may include weight gain/loss, muscle weakness, abdominal discomfort/bloating, hyperglycemia, hypertension, electrolyte imbalance, hirsutism and virilization in females, gynecomastia and hypogonadism in males. Due to the variety of conditions presenting with one or more of these symptoms, diagnosis can be difficult. Many adrenocortical tumors, malignant and benign, are usually detected incidentally on imaging performed for evaluation of another condition, also known as "incidentalomas." Here, we present a rare case of metastatic adrenocortical malignancy in a 56-year-old female patient who presented with isolated recurrent episodes of hypokalemia.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Mirza et al.)
Databáze: MEDLINE