Hypoglycemia in a Patient with Hypercortisolism and Adrenocortical Carcinoma: A Paradoxical Entity

Autor: Tejaswini Maganti, Shobha Mandal, Vineela Kasireddy, Subash Ghimire, Sushmita Khadka, Barbara MolsKowalczewski
Rok vydání: 2022
Předmět:
Zdroj: Journal of Adolescent and Young Adult Oncology. 11:122-125
ISSN: 2156-535X
2156-5333
DOI: 10.1089/jayao.2020.0229
Popis: Adrenal cortical carcinoma is a rare and aggressive cancer with poor prognosis. Cases usually present with signs and symptoms of excessive hormone production. Hyperglycemia and Cushing syndrome are common, but tumor-associated hypoglycemia due to paraneoplastic secretion of insulin-like growth factor-2 (termed Anderson's syndrome) is uncommon. Given the rarity of adrenal cortical carcinoma, diagnosis and management of associated complications is challenging. In this study, we present a case of metastatic adrenal cortical carcinoma with a myriad of hormonal abnormalities. We will also briefly review literature regarding genetic association, pathophysiology, treatment options, and prognosis.
Databáze: OpenAIRE