Jones Karen M, Singh Amar, Haas Gabriel P, Landas Steve K
Department of Pathology, State University of New York Upstate Medical University, Syracuse, New York 13210, USA.
Can J Urol. 2007 Apr;14(2):3518-22.
Adrenocortical carcinoma can have a clinical presentation that mimics a primary renal tumor. We describe a case of a 47-year-old male who presented with flank pain, weight loss, and a 14 cm mass arising from the upper pole of the right kidney on imaging. Upon surgical resection he was found to have a 1500 gram stage II adrenocortical carcinoma. The clinical features, pathologic findings, grading criteria, and differential diagnosis of adrenocortical carcinoma are reviewed.
肾上腺皮质癌的临床表现可能类似于原发性肾肿瘤。我们描述了一例47岁男性患者,该患者出现侧腹痛、体重减轻,影像学检查显示右肾上极有一个14厘米的肿块。手术切除后发现他患有一个重达1500克的II期肾上腺皮质癌。本文对肾上腺皮质癌的临床特征、病理表现、分级标准及鉴别诊断进行了综述。