Satter Elizabeth K, Barnette David J
Department of Dermatology, Naval Medical Center, San Diego, CA 92134-2300, USA.
J Cutan Pathol. 2008 Jul;35(7):677-80. doi: 10.1111/j.1600-0560.2007.00870.x. Epub 2008 Jan 14.
Adrenal cortical carcinoma (ACC) is an uncommon and aggressive malignancy. Patients often have metastatic disease at initial presentation, with the most common sites being the liver, local lymph nodes, lungs, peritoneum and bone. Despite a high frequency of metastases, there are only isolated reports of ACC that have metastasized to the skin. Herein, we report a case of an 82-year-old woman who presented with a cyst-like lesion on her back, which on biopsy proved to be ACC metastatic from a primary tumor diagnosed 30 years previously.
肾上腺皮质癌（ACC）是一种罕见且侵袭性强的恶性肿瘤。患者在初次就诊时往往已有转移性疾病，最常见的转移部位是肝脏、局部淋巴结、肺、腹膜和骨骼。尽管转移频率较高，但仅有关于ACC转移至皮肤的个别报道。在此，我们报告一例82岁女性患者，其背部出现一个囊肿样病变，活检证实为30年前诊断的原发性肿瘤转移而来的肾上腺皮质癌。
