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

Autor: Benjamin Miron, Benjamin T. Ristau, Jeffrey J. Tomaszewski, Josh Jones, Bart Milestone, Yu-Ning Wong, Robert G. Uzzo, Donna Edmondson, Walter Scott, Alexander Kutikov
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Urology Case Reports, Vol 9, Iss C, Pp 9-11 (2016)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2016.07.009
Popis: 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.
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