Adrenal cortical carcinoma

Case contributed by Dr MT. Niknejad

Presentation

Abdominal pain and mass feeling.

Patient Data

Age: 40 years
Gender: Female

A large well-defined mass, measured 74×57×52mm in diameter is located at the right suprarenal region. The mass seems to originate from the right adrenal gland and displaces the right kidney inferiorly. The mean attenuation value of the mass on non-contrast, PVP and delayed post contrast phases are 24HU, 38HU and 46HU, respectively. No local invasion is seen.

An 8mm simple cortical cyst is noted in the left kidney.

Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Right adrenal mass; pathology proven adrenal cortical carcinoma, which is a highly malignant but rare neoplasm. It may present as a hormonally active or an inactive tumor. 

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