75 Adrenocortical Carcinoma

CASE 75


Clinical Presentation


A 40-year-old man presents with a recent-onset cough.




image

Fig. 75.1 (A) Contrast-enhanced axial CT image shows a well-defined rounded, lobulated, heterogeneously enhancing left adrenal mass. (B) Coronal reformatted CT image shows multiple enlarged hypodense celiac and mediastinal lymph nodes with a large heterogeneously enhancing left adrenal mass.


Radiologic Findings


Computed tomography (CT) scanning reveals a heterogeneously enhancing rounded left adrenal mass with extensive mediastinal and celiac lymphadenopathy (Fig. 75.1).


Diagnosis


Adrenocortical carcinoma


Differential Diagnosis



  • Lymphoma
  • Metastatic disease
  • Renal cell carcinoma

Discussion


Background


Adrenocortical carcinoma is a rare malignancy of the adrenocortical tissue, with an incidence of 1 to 2 per million population. It is mostly found in adults, with the median age at diagnosis being 44 years. In 70% of diagnosed cases, tumor invades into adjacent tissues by the time of diagnosis.


Clinical Findings

Dec 26, 2015 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on 75 Adrenocortical Carcinoma
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