Adrenal carcinoma

Case contributed by Dr Roberto Schubert

Presentation

The patient presented with hirsutism, central obesity, and striae rubrae. Blood pressure was at 180/110 mmHg. Blood cortisol levels were elevated and ACTH suppressed. There was a palpable mass in the right upper and middle abdomen.

Patient Data

Age: 46
Gender: Female
MRI

Coronal HASTE showing a centrally necrotic tumour displacing the right kidney and its hilum caudally.

Transverse T1 image with fatsat after iv Gd. The mass shows an inhomogeneous enhancement pattern with avascular necrosis..

 

Case Discussion

MRI showed a massive tumour between the liver and right kidney. The kidney was displaced caudally  (Fig. 1). After contrast, the tumour showed heterogeneous enhancement with a large central necrosis (Fig. 2).

The large size of the adrenal mass and the central necrosis is compatible with adrenal cortical carcinoma.

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Case information

rID: 13777
Case created: 15th May 2011
Last edited: 27th Oct 2015
System: Urogenital
Inclusion in quiz mode: Included

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